| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,687 |
3,248 |
$117K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,913 |
1,740 |
$85K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
36 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,220 |
1,117 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
145 |
95 |
$3K |
| 85027 |
|
365 |
338 |
$2K |
| 90686 |
|
134 |
126 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
160 |
146 |
$1K |
| 99215 |
Prolong outpt/office vis |
15 |
13 |
$804.49 |
| 90651 |
|
12 |
12 |
$533.11 |
| 0001A |
|
14 |
13 |
$480.00 |
| 0002A |
|
12 |
12 |
$480.00 |
| 90734 |
|
13 |
13 |
$461.53 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
27 |
$403.05 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
59 |
54 |
$381.18 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
13 |
$317.21 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
38 |
38 |
$300.77 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$237.33 |
| 91300 |
|
50 |
44 |
$0.00 |