| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,459 |
6,649 |
$700K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,132 |
2,293 |
$155K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,440 |
1,340 |
$144K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
489 |
467 |
$33K |
| 99215 |
Prolong outpt/office vis |
122 |
110 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
232 |
116 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
199 |
190 |
$2K |
| 81002 |
|
529 |
485 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
14 |
12 |
$371.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
24 |
$316.88 |
| 80061 |
Lipid panel |
14 |
12 |
$296.44 |
| 36415 |
Collection of venous blood by venipuncture |
53 |
42 |
$63.82 |