| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,740 |
5,242 |
$426K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,166 |
1,711 |
$94K |
| 90686 |
|
591 |
448 |
$9K |
| 90750 |
|
19 |
12 |
$3K |
| 90715 |
|
81 |
49 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
134 |
125 |
$2K |
| 82962 |
|
1,208 |
971 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
354 |
327 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
14 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
14 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
38 |
38 |
$594.19 |
| 81003 |
|
141 |
117 |
$296.63 |
| 99307 |
|
72 |
66 |
$286.04 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
15 |
13 |
$210.13 |
| 85018 |
|
77 |
68 |
$178.64 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
12 |
$147.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
30 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18 |
14 |
$0.00 |