| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,485 |
2,058 |
$101K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,136 |
921 |
$63K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
845 |
749 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
132 |
120 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
51 |
46 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
45 |
31 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
58 |
40 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
98 |
43 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
516 |
419 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
49 |
39 |
$707.46 |
| 90686 |
|
217 |
201 |
$402.72 |
| 90461 |
|
729 |
329 |
$226.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
13 |
$189.54 |
| 81002 |
|
87 |
73 |
$184.70 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$132.68 |
| 90674 |
|
12 |
12 |
$132.02 |
| 99173 |
|
15 |
12 |
$115.79 |
| 81003 |
|
45 |
30 |
$60.29 |
| 90648 |
|
25 |
24 |
$0.00 |
| 90670 |
|
108 |
99 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |
| 90680 |
|
29 |
27 |
$0.00 |