| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,202 |
4,563 |
$204K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
129 |
118 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
362 |
150 |
$5K |
| 90688 |
|
119 |
93 |
$736.27 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
12 |
$712.25 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$324.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$230.09 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$148.91 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
12 |
$64.74 |
| 90686 |
|
16 |
12 |
$45.20 |
| 3008F |
|
454 |
410 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
31 |
28 |
$0.00 |