| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,012 |
1,654 |
$88K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,067 |
1,737 |
$70K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
301 |
133 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
249 |
190 |
$3K |
| 3008F |
|
697 |
480 |
$2K |
| 99215 |
Prolong outpt/office vis |
30 |
24 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
175 |
159 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
977 |
838 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22 |
21 |
$462.90 |
| 81003 |
|
226 |
188 |
$269.45 |
| 90686 |
|
13 |
13 |
$118.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
14 |
$118.55 |
| 1159F |
|
13 |
13 |
$100.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
12 |
$10.30 |