| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,024 |
2,365 |
$140K |
| 99091 |
|
389 |
362 |
$69K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
272 |
263 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
181 |
150 |
$6K |
| 81002 |
|
508 |
474 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
16 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
52 |
50 |
$559.24 |
| 90674 |
|
28 |
25 |
$363.22 |
| 81003 |
|
125 |
114 |
$212.10 |
| 90686 |
|
20 |
20 |
$192.72 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$176.12 |
| 90658 |
|
13 |
12 |
$90.35 |
| 96127 |
|
160 |
141 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
704 |
646 |
$0.00 |