| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,402 |
6,103 |
$503K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,315 |
4,854 |
$231K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,872 |
1,386 |
$39K |
| 99215 |
Prolong outpt/office vis |
51 |
39 |
$6K |
| 90682 |
|
55 |
51 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
135 |
119 |
$1K |
| 90674 |
|
46 |
42 |
$966.18 |
| 90686 |
|
30 |
24 |
$72.22 |
| 3077F |
|
94 |
84 |
$0.00 |
| 3078F |
|
168 |
152 |
$0.00 |
| 3079F |
|
85 |
77 |
$0.00 |
| 3074F |
|
184 |
163 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
13 |
$0.00 |
| 3075F |
|
16 |
15 |
$0.00 |
| 3080F |
|
65 |
57 |
$0.00 |