| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,668 |
1,958 |
$138K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43 |
30 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
56 |
45 |
$2K |
| 87430 |
|
203 |
177 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
26 |
$418.92 |
| 90686 |
|
22 |
22 |
$387.94 |
| 87451 |
|
62 |
51 |
$331.20 |
| 36415 |
Collection of venous blood by venipuncture |
154 |
135 |
$325.42 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
25 |
$231.40 |
| 96160 |
|
45 |
42 |
$123.16 |
| 99000 |
|
280 |
247 |
$60.00 |