| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,802 |
1,591 |
$135K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,656 |
2,316 |
$121K |
| W0037 |
|
1,928 |
1,928 |
$59K |
| 99215 |
Prolong outpt/office vis |
114 |
108 |
$14K |
| 90837 |
Psychotherapy, 53 minutes with patient |
69 |
40 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
1,669 |
1,479 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
288 |
255 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
252 |
246 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
174 |
155 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
38 |
37 |
$645.55 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
17 |
$636.84 |
| 0064A |
|
14 |
14 |
$555.38 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
34 |
33 |
$494.19 |
| 90686 |
|
47 |
47 |
$250.32 |
| 90656 |
|
12 |
12 |
$158.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 91306 |
|
14 |
14 |
$0.00 |