| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,296 |
1,962 |
$95K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,529 |
1,313 |
$93K |
| 90686 |
|
195 |
134 |
$3K |
| 90656 |
|
86 |
46 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
12 |
$370.60 |
| 36415 |
Collection of venous blood by venipuncture |
56 |
49 |
$10.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
113 |
74 |
$0.00 |