| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,703 |
2,262 |
$143K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
425 |
390 |
$31K |
| 36415 |
Collection of venous blood by venipuncture |
529 |
479 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
61 |
47 |
$465.29 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
22 |
15 |
$198.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
14 |
$195.20 |
| 90686 |
|
26 |
20 |
$154.44 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
19 |
12 |
$145.20 |