| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,249 |
937 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
771 |
554 |
$25K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
90 |
38 |
$701.48 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
62 |
48 |
$454.13 |
| 36415 |
Collection of venous blood by venipuncture |
322 |
240 |
$234.78 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
12 |
$144.89 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
23 |
12 |
$132.28 |
| 90756 |
|
30 |
18 |
$94.76 |
| 90689 |
|
21 |
14 |
$60.00 |
| 96127 |
|
17 |
12 |
$41.01 |
| G0008 |
Administration of influenza virus vaccine |
14 |
12 |
$0.00 |