| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
909 |
723 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
756 |
618 |
$26K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
117 |
93 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
122 |
112 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
106 |
42 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
41 |
39 |
$885.07 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
19 |
12 |
$796.21 |
| 36415 |
Collection of venous blood by venipuncture |
166 |
136 |
$230.29 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
13 |
$194.41 |
| 90674 |
|
39 |
37 |
$180.92 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$153.40 |
| 81002 |
|
30 |
24 |
$72.60 |
| 90686 |
|
93 |
90 |
$0.00 |