| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
626 |
556 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
442 |
397 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
56 |
25 |
$643.46 |
| 90686 |
|
28 |
28 |
$322.48 |
| 36415 |
Collection of venous blood by venipuncture |
117 |
109 |
$256.55 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
24 |
$92.31 |
| 81002 |
|
13 |
13 |
$31.52 |