| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,836 |
3,204 |
$110K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,074 |
1,751 |
$103K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
72 |
55 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$733.33 |
| 90756 |
|
82 |
45 |
$483.98 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
49 |
38 |
$411.84 |
| 36415 |
Collection of venous blood by venipuncture |
91 |
86 |
$103.76 |
| 90686 |
|
24 |
15 |
$99.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
17 |
$0.00 |
| 3078F |
|
13 |
12 |
$0.00 |