| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,584 |
8,878 |
$319K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,756 |
1,411 |
$36K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,487 |
2,194 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
576 |
490 |
$23K |
| 36415 |
Collection of venous blood by venipuncture |
1,647 |
1,381 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
396 |
249 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
454 |
413 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
165 |
144 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$870.41 |
| 99201 |
|
25 |
23 |
$633.60 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
46 |
41 |
$448.44 |
| 95117 |
|
15 |
12 |
$156.95 |
| 81002 |
|
29 |
24 |
$29.98 |
| 90633 |
|
76 |
70 |
$23.27 |
| 1220F |
|
3,829 |
3,129 |
$3.00 |
| 4004F |
|
492 |
406 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
2,116 |
1,684 |
$0.00 |
| 1159F |
|
1,779 |
1,385 |
$0.00 |
| 3078F |
|
1,088 |
842 |
$0.00 |
| 3077F |
|
16 |
13 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
43 |
39 |
$0.00 |
| 1036F |
|
1,372 |
1,051 |
$0.00 |
| 3079F |
|
273 |
232 |
$0.00 |
| 3074F |
|
984 |
790 |
$0.00 |
| 3075F |
|
120 |
106 |
$0.00 |