| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,521 |
1,975 |
$110K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,095 |
951 |
$72K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
516 |
497 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
182 |
87 |
$2K |
| 92552 |
|
64 |
64 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
357 |
351 |
$769.40 |
| 90686 |
|
45 |
45 |
$105.26 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$98.91 |
| 99173 |
|
29 |
29 |
$23.92 |
| 94760 |
|
68 |
59 |
$10.47 |