| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,570 |
3,301 |
$188K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
112 |
108 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
187 |
172 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
152 |
145 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
137 |
137 |
$1K |
| 0011A |
|
34 |
33 |
$1K |
| 0012A |
|
30 |
30 |
$1K |
| 90686 |
|
112 |
111 |
$915.92 |
| 96127 |
|
70 |
70 |
$345.70 |
| 36415 |
Collection of venous blood by venipuncture |
1,078 |
1,039 |
$343.04 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$285.17 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$253.28 |
| 99173 |
|
119 |
117 |
$4.32 |
| 96160 |
|
13 |
12 |
$4.22 |
| 91301 |
|
73 |
68 |
$0.00 |