| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,667 |
3,149 |
$225K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,196 |
1,031 |
$101K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
210 |
201 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
161 |
137 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
112 |
109 |
$4K |
| 0011A |
|
114 |
113 |
$4K |
| 0012A |
|
91 |
91 |
$4K |
| 90688 |
|
144 |
139 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
64 |
62 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
304 |
277 |
$812.01 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
27 |
$418.55 |
| 90686 |
|
14 |
14 |
$215.64 |
| H0049 |
Alcohol and/or drug screening |
13 |
13 |
$131.04 |
| 99000 |
|
32 |
31 |
$79.22 |