| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,891 |
3,090 |
$200K |
| 99199 |
Unlisted special service, procedure or report |
13,440 |
13,434 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
861 |
668 |
$35K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
373 |
354 |
$5K |
| 87276 |
|
255 |
237 |
$3K |
| 87275 |
|
255 |
237 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,464 |
1,189 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
82 |
75 |
$630.53 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
199 |
176 |
$557.61 |
| 90686 |
|
51 |
27 |
$356.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
14 |
$159.60 |
| 81001 |
|
25 |
25 |
$97.75 |
| 3078F |
|
522 |
447 |
$0.00 |
| 3077F |
|
174 |
150 |
$0.00 |
| 3074F |
|
430 |
374 |
$0.00 |
| 3079F |
|
265 |
234 |
$0.00 |
| 3080F |
|
14 |
14 |
$0.00 |
| 3075F |
|
52 |
40 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
19 |
16 |
$0.00 |