| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,342 |
5,363 |
$370K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,004 |
5,158 |
$265K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
62 |
59 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
203 |
174 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
49 |
46 |
$4K |
| 90686 |
|
541 |
455 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
235 |
207 |
$3K |
| 99385 |
|
27 |
27 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
469 |
398 |
$1K |
| 81002 |
|
300 |
210 |
$736.65 |
| 96127 |
|
52 |
49 |
$717.87 |
| 90656 |
|
46 |
39 |
$425.05 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$297.90 |
| 99000 |
|
170 |
155 |
$227.09 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17 |
13 |
$214.70 |
| 99173 |
|
27 |
26 |
$109.59 |
| 94760 |
|
65 |
58 |
$77.76 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
18 |
$0.00 |