| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,193 |
1,006 |
$96K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,188 |
967 |
$62K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
96 |
85 |
$1K |
| 99000 |
|
269 |
219 |
$768.81 |
| 90688 |
|
84 |
68 |
$708.50 |
| 90756 |
|
17 |
17 |
$312.81 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
24 |
$265.34 |
| 36415 |
Collection of venous blood by venipuncture |
84 |
81 |
$241.25 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
12 |
$162.31 |