| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,465 |
8,107 |
$610K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,316 |
9,536 |
$495K |
| T1015 |
Clinic visit/encounter, all-inclusive |
12,553 |
10,675 |
$146K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,099 |
919 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
3,232 |
2,726 |
$9K |
| 90686 |
|
441 |
380 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
205 |
171 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
129 |
80 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
27 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
19 |
15 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
13 |
$197.99 |
| 90670 |
|
16 |
12 |
$193.91 |
| 81003 |
|
34 |
27 |
$26.62 |
| 90633 |
|
20 |
18 |
$0.00 |