| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,578 |
2,333 |
$142K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,037 |
959 |
$84K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
109 |
108 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
147 |
147 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
568 |
280 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
239 |
238 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
40 |
37 |
$688.66 |
| 81003 |
|
193 |
187 |
$534.45 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
107 |
106 |
$530.47 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$129.16 |