| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,752 |
2,333 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,644 |
1,404 |
$74K |
| 99000 |
|
706 |
614 |
$2K |
| 0011A |
|
13 |
13 |
$496.08 |
| 0001A |
|
13 |
13 |
$457.92 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19 |
16 |
$261.12 |
| 36415 |
Collection of venous blood by venipuncture |
466 |
387 |
$7.29 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |