| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
783 |
713 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
704 |
668 |
$43K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
368 |
362 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
358 |
331 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
27 |
$3K |
| 90686 |
|
117 |
114 |
$203.48 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$130.08 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14 |
12 |
$110.18 |
| 90688 |
|
44 |
44 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
25 |
$0.00 |