| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,565 |
2,351 |
$189K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
715 |
696 |
$70K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
333 |
333 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
266 |
260 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
1,064 |
1,006 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
178 |
174 |
$3K |
| 96127 |
|
140 |
139 |
$630.94 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$440.16 |