| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
325 |
252 |
$22K |
| 99215 |
Prolong outpt/office vis |
158 |
124 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
76 |
67 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
117 |
85 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
116 |
84 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
175 |
94 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
51 |
39 |
$791.17 |
| 90686 |
|
17 |
14 |
$254.10 |
| 87660 |
|
13 |
12 |
$240.60 |
| 87510 |
|
13 |
12 |
$240.60 |
| 87480 |
|
13 |
12 |
$239.60 |
| 81025 |
|
29 |
24 |
$197.20 |