| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
460 |
411 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
266 |
227 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
30 |
29 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
24 |
21 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
54 |
53 |
$767.34 |
| 92551 |
|
84 |
74 |
$593.50 |
| 36415 |
Collection of venous blood by venipuncture |
141 |
128 |
$219.35 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
14 |
$209.99 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19 |
18 |
$170.63 |
| 99173 |
|
85 |
74 |
$141.53 |
| 90674 |
|
15 |
12 |
$20.65 |