| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,580 |
9,049 |
$715K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,843 |
4,287 |
$191K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,062 |
924 |
$106K |
| 90686 |
|
5,134 |
5,134 |
$57K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,761 |
6,667 |
$34K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,235 |
971 |
$22K |
| 90656 |
|
1,115 |
1,115 |
$13K |
| 0064A |
|
254 |
254 |
$8K |
| 0134A |
|
127 |
127 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
181 |
176 |
$2K |
| 0111A |
|
66 |
66 |
$2K |
| 0112A |
|
32 |
32 |
$960.00 |
| 90688 |
|
46 |
46 |
$844.65 |
| 92552 |
|
26 |
26 |
$503.30 |
| 0012A |
|
14 |
14 |
$439.74 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
127 |
122 |
$408.94 |
| 0011A |
|
12 |
12 |
$376.92 |
| 90480 |
|
44 |
44 |
$220.00 |
| 91313 |
|
127 |
127 |
$0.00 |
| 91311 |
|
107 |
107 |
$0.00 |
| 91321 |
|
14 |
14 |
$0.00 |
| 90685 |
|
53 |
53 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,864 |
1,711 |
$0.00 |
| 91306 |
|
254 |
254 |
$0.00 |
| 91301 |
|
37 |
37 |
$0.00 |