| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60 |
57 |
$7K |
| 99215 |
Prolong outpt/office vis |
26 |
24 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28 |
26 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
19 |
18 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
19 |
18 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
27 |
26 |
$2K |
| 81025 |
|
28 |
24 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$366.94 |
| 81003 |
|
60 |
55 |
$277.11 |