| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,665 |
2,369 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,157 |
1,471 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
457 |
165 |
$3K |
| 96127 |
|
3,214 |
1,035 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
284 |
106 |
$1K |
| 90674 |
|
255 |
161 |
$763.78 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
224 |
100 |
$683.30 |
| 36415 |
Collection of venous blood by venipuncture |
622 |
328 |
$169.67 |
| 3078F |
|
1,665 |
1,110 |
$160.10 |
| 90694 |
|
308 |
121 |
$148.61 |
| 3074F |
|
1,177 |
808 |
$130.04 |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$94.16 |
| 3079F |
|
195 |
145 |
$80.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
49 |
13 |
$59.97 |
| G0008 |
Administration of influenza virus vaccine |
505 |
230 |
$45.30 |
| 3075F |
|
232 |
164 |
$40.02 |
| 82274 |
|
16 |
12 |
$21.48 |
| 3044F |
|
319 |
172 |
$10.00 |
| 96160 |
|
14 |
13 |
$7.29 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
81 |
22 |
$0.81 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
47 |
12 |
$0.37 |
| 3008F |
|
2,829 |
1,796 |
$0.10 |
| 1160F |
|
2,156 |
1,248 |
$0.10 |
| 1159F |
|
2,075 |
1,216 |
$0.10 |
| 1125F |
|
516 |
346 |
$0.08 |
| 1126F |
|
1,374 |
933 |
$0.02 |
| 3288F |
|
198 |
126 |
$0.02 |
| 1034F |
|
1,055 |
665 |
$0.00 |
| 1036F |
|
1,400 |
799 |
$0.00 |
| 3725F |
|
465 |
332 |
$0.00 |
| 99499 |
|
47 |
30 |
$0.00 |