| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,709 |
1,595 |
$123K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,636 |
1,598 |
$80K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,274 |
1,109 |
$63K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
700 |
643 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
406 |
399 |
$32K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
190 |
85 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$921.94 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
116 |
71 |
$899.17 |
| 99177 |
|
40 |
37 |
$851.32 |
| 86580 |
|
26 |
26 |
$160.41 |
| 36415 |
Collection of venous blood by venipuncture |
51 |
44 |
$137.45 |
| 87070 |
|
67 |
29 |
$39.97 |
| 90648 |
|
102 |
96 |
$0.00 |
| 90713 |
|
119 |
95 |
$0.00 |
| 90670 |
|
157 |
146 |
$0.00 |
| 90700 |
|
315 |
275 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |
| 90680 |
|
15 |
14 |
$0.00 |
| 90686 |
|
152 |
142 |
$0.00 |