| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,912 |
8,106 |
$283K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,119 |
2,026 |
$89K |
| 90686 |
|
696 |
663 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
81 |
77 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
45 |
45 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
280 |
269 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
60 |
26 |
$684.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
17 |
$391.00 |
| 99173 |
|
190 |
184 |
$94.10 |
| 92551 |
|
148 |
140 |
$82.68 |
| 36415 |
Collection of venous blood by venipuncture |
985 |
948 |
$15.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
106 |
106 |
$0.00 |
| 90619 |
|
24 |
24 |
$0.00 |
| 90656 |
|
93 |
93 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 96127 |
|
72 |
67 |
$0.00 |
| 3725F |
|
164 |
161 |
$0.00 |
| 96160 |
|
64 |
64 |
$0.00 |
| 80061 |
Lipid panel |
25 |
25 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |
| 90715 |
|
16 |
16 |
$0.00 |