| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,132 |
1,058 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
655 |
611 |
$46K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
92 |
44 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
44 |
43 |
$585.20 |
| 90688 |
|
28 |
27 |
$336.08 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
43 |
43 |
$318.54 |
| 36415 |
Collection of venous blood by venipuncture |
98 |
95 |
$65.69 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
114 |
104 |
$54.40 |
| 90461 |
|
47 |
43 |
$54.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$30.60 |