| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,728 |
2,329 |
$120K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,225 |
1,107 |
$55K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| 90686 |
|
63 |
60 |
$623.65 |
| 36415 |
Collection of venous blood by venipuncture |
198 |
176 |
$409.83 |
| 90688 |
|
30 |
30 |
$374.66 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
36 |
$303.33 |
| 90670 |
|
26 |
25 |
$273.77 |
| 90756 |
|
12 |
12 |
$236.32 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
29 |
$219.54 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
16 |
$89.95 |