| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,150 |
1,002 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
694 |
626 |
$65K |
| 99195 |
|
301 |
292 |
$30K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
153 |
139 |
$4K |
| 99401 |
|
120 |
115 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
254 |
248 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
93 |
90 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
73 |
72 |
$1K |
| 92552 |
|
29 |
28 |
$780.28 |
| 3074F |
|
198 |
181 |
$437.50 |
| 94010 |
|
12 |
12 |
$420.72 |
| 3078F |
|
172 |
155 |
$365.00 |
| 90686 |
|
90 |
90 |
$285.59 |
| 93000 |
|
13 |
13 |
$81.95 |
| 3079F |
|
32 |
32 |
$75.00 |
| 99174 |
|
12 |
12 |
$73.68 |
| 3008F |
|
564 |
484 |
$0.00 |
| 1000F |
|
133 |
120 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
25 |
$0.00 |
| 1036F |
|
120 |
107 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
219 |
200 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
212 |
195 |
$0.00 |
| 3725F |
|
252 |
228 |
$0.00 |
| 92015 |
Determination of refractive state |
12 |
12 |
$0.00 |