| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,410 |
2,240 |
$102K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,587 |
1,463 |
$96K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
298 |
298 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
186 |
186 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
175 |
100 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
950 |
881 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$520.53 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31 |
31 |
$483.09 |
| 90688 |
|
58 |
53 |
$387.80 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$339.68 |
| 81003 |
|
19 |
19 |
$38.90 |