| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,075 |
1,689 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,617 |
1,253 |
$47K |
| 99442 |
|
81 |
35 |
$995.28 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
127 |
97 |
$904.55 |
| 36415 |
Collection of venous blood by venipuncture |
493 |
409 |
$514.92 |
| 90686 |
|
26 |
25 |
$407.82 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
13 |
$278.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22 |
21 |
$141.14 |
| 81003 |
|
13 |
12 |
$19.65 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
12 |
$14.86 |
| 4274F |
|
43 |
38 |
$0.00 |