| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,568 |
3,257 |
$334K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,605 |
2,381 |
$163K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
803 |
797 |
$16K |
| 80305 |
|
794 |
493 |
$9K |
| 99406 |
|
379 |
291 |
$5K |
| 90688 |
|
245 |
245 |
$4K |
| 82947 |
|
599 |
552 |
$3K |
| 93000 |
|
103 |
103 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
12 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
82 |
82 |
$903.50 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
41 |
41 |
$709.65 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
15 |
$314.56 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24 |
24 |
$274.12 |
| 36415 |
Collection of venous blood by venipuncture |
67 |
67 |
$155.40 |