| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,758 |
3,394 |
$347K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
383 |
373 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
130 |
130 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
720 |
695 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
126 |
125 |
$1K |
| 90686 |
|
32 |
32 |
$254.91 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
15 |
$205.05 |
| 90656 |
|
12 |
12 |
$49.37 |
| 81002 |
|
13 |
12 |
$39.97 |
| 90658 |
|
19 |
14 |
$0.00 |