| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,085 |
2,853 |
$158K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
399 |
359 |
$29K |
| 90686 |
|
920 |
916 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,322 |
1,302 |
$15K |
| 91320 |
|
49 |
48 |
$5K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
148 |
142 |
$5K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
144 |
138 |
$5K |
| 90619 |
|
59 |
57 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
46 |
45 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
29 |
$3K |
| 90480 |
|
48 |
47 |
$1K |
| 92015 |
Determination of refractive state |
47 |
46 |
$440.00 |
| 87430 |
|
25 |
24 |
$338.91 |
| 36415 |
Collection of venous blood by venipuncture |
89 |
87 |
$226.10 |
| 87081 |
|
25 |
24 |
$165.44 |
| 81025 |
|
13 |
13 |
$84.84 |