| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
219 |
215 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
151 |
145 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
172 |
77 |
$2K |
| 99000 |
|
171 |
167 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
21 |
21 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
127 |
125 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
20 |
20 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$924.91 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
36 |
18 |
$542.10 |
| 90461 |
|
186 |
42 |
$382.22 |
| 92551 |
|
33 |
32 |
$76.32 |
| 90697 |
|
13 |
13 |
$0.07 |
| 36416 |
|
13 |
13 |
$0.00 |
| 99173 |
|
34 |
33 |
$0.00 |
| 90670 |
|
21 |
21 |
$0.00 |