| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,355 |
1,229 |
$73K |
| T1015 |
Clinic visit/encounter, all-inclusive |
181 |
150 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
25 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
116 |
115 |
$1K |
| 87428 |
|
155 |
141 |
$978.22 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$659.70 |
| 90686 |
|
27 |
27 |
$245.98 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
68 |
62 |
$101.72 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$62.16 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$39.33 |
| 0001A |
|
12 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
38 |
36 |
$0.00 |