| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,317 |
3,793 |
$379K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
758 |
690 |
$53K |
| 99401 |
|
110 |
101 |
$3K |
| 90686 |
|
98 |
98 |
$2K |
| 99406 |
|
103 |
95 |
$1K |
| 80305 |
|
239 |
221 |
$962.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
74 |
74 |
$743.96 |
| 36415 |
Collection of venous blood by venipuncture |
1,204 |
1,183 |
$190.66 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$63.60 |
| 99000 |
|
39 |
38 |
$0.00 |
| 99058 |
|
25 |
25 |
$0.00 |