| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,095 |
2,592 |
$232K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
536 |
496 |
$58K |
| 99051 |
|
1,656 |
1,546 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
75 |
74 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
213 |
213 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
307 |
307 |
$2K |
| 87081 |
|
286 |
275 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
115 |
111 |
$432.27 |
| 36415 |
Collection of venous blood by venipuncture |
357 |
344 |
$100.55 |
| 90686 |
|
24 |
24 |
$100.15 |
| 81002 |
|
25 |
24 |
$50.00 |
| 99000 |
|
1,552 |
1,450 |
$10.00 |
| 90461 |
|
15 |
15 |
$0.00 |
| 99072 |
|
1,842 |
1,639 |
$0.00 |