| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,816 |
2,528 |
$120K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
548 |
225 |
$4K |
| 99000 |
|
308 |
289 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
327 |
327 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
13 |
$568.99 |
| 90686 |
|
66 |
65 |
$372.86 |
| 36415 |
Collection of venous blood by venipuncture |
96 |
91 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$0.00 |