| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,519 |
1,356 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
317 |
304 |
$21K |
| 90834 |
Psychotherapy, 45 minutes with patient |
337 |
139 |
$9K |
| 90791 |
Psychiatric diagnostic evaluation |
27 |
13 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
12 |
$198.00 |
| 36415 |
Collection of venous blood by venipuncture |
90 |
82 |
$104.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
28 |
$80.00 |