| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,462 |
1,343 |
$122K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,966 |
1,820 |
$115K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
126 |
122 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
204 |
201 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
34 |
$3K |
| 90686 |
|
267 |
263 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
16 |
$492.48 |
| 36415 |
Collection of venous blood by venipuncture |
168 |
156 |
$459.30 |
| 99000 |
|
260 |
237 |
$273.23 |
| 81002 |
|
82 |
54 |
$210.51 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$184.68 |
| 94760 |
|
42 |
40 |
$104.64 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
20 |
20 |
$53.76 |