| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,797 |
5,265 |
$391K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,656 |
3,471 |
$336K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
141 |
141 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
459 |
459 |
$7K |
| 99385 |
|
48 |
48 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
39 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
146 |
142 |
$3K |
| 99215 |
Prolong outpt/office vis |
17 |
16 |
$2K |
| 99460 |
|
25 |
25 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
32 |
32 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
119 |
118 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
29 |
29 |
$896.12 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$791.96 |
| 36415 |
Collection of venous blood by venipuncture |
169 |
166 |
$500.59 |
| 90686 |
|
113 |
113 |
$176.00 |
| 1111F |
|
1,475 |
1,352 |
$0.00 |