| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,569 |
1,423 |
$64K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
837 |
757 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
291 |
272 |
$11K |
| 99307 |
|
945 |
945 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
64 |
59 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
73 |
71 |
$821.70 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
26 |
$111.12 |
| 90653 |
|
59 |
59 |
$0.00 |
| 90756 |
|
27 |
27 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
155 |
155 |
$0.00 |
| 82962 |
|
28 |
28 |
$0.00 |
| 90694 |
|
15 |
15 |
$0.00 |