| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
23,328 |
12,517 |
$153K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,461 |
2,142 |
$130K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,265 |
1,056 |
$51K |
| 36415 |
Collection of venous blood by venipuncture |
1,836 |
1,610 |
$3K |
| 99384 |
|
16 |
13 |
$2K |
| 99442 |
|
41 |
39 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
115 |
91 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
94 |
60 |
$786.04 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
58 |
25 |
$710.76 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
16 |
$640.06 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
16 |
$395.64 |
| 90686 |
|
40 |
34 |
$206.00 |
| 90756 |
|
70 |
42 |
$156.60 |
| 90674 |
|
16 |
16 |
$123.85 |
| 81003 |
|
41 |
37 |
$48.09 |
| 3008F |
|
734 |
586 |
$0.00 |
| 3074F |
|
267 |
238 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 3048F |
|
124 |
106 |
$0.00 |
| 99000 |
|
37 |
28 |
$0.00 |
| 3049F |
|
17 |
13 |
$0.00 |
| 4010F |
|
14 |
13 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
13 |
$0.00 |
| 3078F |
|
237 |
206 |
$0.00 |
| 99072 |
|
328 |
285 |
$0.00 |