| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,801 |
9,803 |
$519K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,581 |
4,652 |
$290K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,246 |
801 |
$31K |
| 90686 |
|
807 |
635 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
175 |
151 |
$14K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
987 |
753 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
61 |
58 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
167 |
69 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
175 |
147 |
$2K |
| 90656 |
|
68 |
60 |
$1K |
| 99307 |
|
54 |
54 |
$305.36 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$221.68 |
| 81003 |
|
24 |
24 |
$52.89 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
80 |
51 |
$0.00 |