| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,211 |
1,888 |
$94K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
493 |
437 |
$19K |
| 99444 |
|
89 |
27 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
106 |
47 |
$1K |
| 90688 |
|
73 |
73 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
37 |
$387.72 |
| 87430 |
|
33 |
29 |
$345.90 |
| 99442 |
|
14 |
12 |
$33.27 |
| G0513 |
Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preventive service) |
119 |
119 |
$0.00 |