| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,387 |
1,222 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,994 |
1,740 |
$47K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
91 |
81 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
194 |
177 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
247 |
115 |
$3K |
| 99442 |
|
14 |
13 |
$315.99 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
26 |
$310.80 |
| 90686 |
|
23 |
23 |
$173.55 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
16 |
$172.74 |
| 87807 |
|
17 |
16 |
$169.13 |
| 99441 |
|
24 |
20 |
$135.13 |
| 36415 |
Collection of venous blood by venipuncture |
33 |
27 |
$48.63 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |