| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,170 |
2,056 |
$66K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,030 |
570 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
217 |
189 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
224 |
135 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
266 |
76 |
$997.62 |
| 36415 |
Collection of venous blood by venipuncture |
325 |
254 |
$386.95 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
309 |
159 |
$294.60 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24 |
16 |
$168.06 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
13 |
$147.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
199 |
137 |
$100.05 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
18 |
14 |
$2.68 |