| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,052 |
4,491 |
$186K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
786 |
760 |
$9K |
| 90688 |
|
362 |
362 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
2,759 |
2,697 |
$3K |
| 93000 |
|
249 |
249 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
15 |
$883.64 |
| 90707 |
|
12 |
12 |
$836.64 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
108 |
107 |
$682.02 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$623.12 |
| 81002 |
|
382 |
381 |
$507.35 |
| 90682 |
|
12 |
12 |
$477.03 |
| 99442 |
|
13 |
12 |
$351.13 |
| 90674 |
|
12 |
12 |
$262.60 |
| 81000 |
|
90 |
90 |
$210.27 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
15 |
$186.17 |
| 86580 |
|
15 |
14 |
$77.09 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
14 |
$0.00 |