| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
247 |
236 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
135 |
62 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
188 |
166 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
13 |
$297.60 |
| 81003 |
|
106 |
84 |
$90.50 |
| 90686 |
|
40 |
39 |
$76.12 |
| 96127 |
|
33 |
32 |
$3.09 |
| 36415 |
Collection of venous blood by venipuncture |
338 |
306 |
$3.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
97 |
94 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
16 |
16 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
13 |
13 |
$0.00 |