| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,211 |
954 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
342 |
271 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
27 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
50 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
117 |
100 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$173.02 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
15 |
$110.00 |
| 99001 |
|
69 |
62 |
$4.97 |
| 1111F |
|
1,877 |
1,439 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
91 |
86 |
$0.00 |