| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
711 |
554 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
816 |
649 |
$38K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
237 |
111 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
124 |
116 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
467 |
412 |
$1K |
| 90756 |
|
36 |
22 |
$421.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
22 |
$379.29 |
| 99401 |
|
14 |
13 |
$337.87 |
| 92551 |
|
39 |
38 |
$307.69 |
| 81025 |
|
16 |
14 |
$77.22 |
| 81002 |
|
32 |
26 |
$76.16 |
| 96160 |
|
13 |
12 |
$32.48 |
| 99173 |
|
39 |
38 |
$29.32 |
| 3078F |
|
823 |
696 |
$0.00 |
| 1033F |
|
466 |
390 |
$0.00 |
| 1159F |
|
1,464 |
1,135 |
$0.00 |
| 1160F |
|
500 |
431 |
$0.00 |
| 3077F |
|
32 |
25 |
$0.00 |
| 3074F |
|
1,097 |
874 |
$0.00 |
| 3008F |
|
1,210 |
947 |
$0.00 |
| 1034F |
|
123 |
94 |
$0.00 |
| 1036F |
|
589 |
481 |
$0.00 |
| 4010F |
|
194 |
150 |
$0.00 |
| 3079F |
|
309 |
261 |
$0.00 |
| 1031F |
|
616 |
507 |
$0.00 |
| 1170F |
|
44 |
40 |
$0.00 |
| 3044F |
|
126 |
96 |
$0.00 |
| 3080F |
|
53 |
38 |
$0.00 |
| 3048F |
|
167 |
131 |
$0.00 |