| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,590 |
8,557 |
$432K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,193 |
1,881 |
$134K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
132 |
115 |
$3K |
| 90686 |
|
268 |
251 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
325 |
201 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,272 |
1,116 |
$2K |
| 81003 |
|
1,084 |
668 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
18 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
131 |
123 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
32 |
$507.41 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
12 |
$206.48 |
| 3008F |
|
3,021 |
2,673 |
$0.00 |
| 1125F |
|
162 |
157 |
$0.00 |
| 3074F |
|
493 |
445 |
$0.00 |
| 3075F |
|
26 |
25 |
$0.00 |
| 3079F |
|
60 |
55 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,033 |
1,714 |
$0.00 |
| 1159F |
|
1,340 |
1,176 |
$0.00 |
| 1160F |
|
874 |
786 |
$0.00 |
| 3078F |
|
525 |
468 |
$0.00 |
| 3077F |
|
27 |
25 |
$0.00 |
| 0502F |
|
20 |
13 |
$0.00 |