| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,411 |
4,289 |
$176K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,023 |
2,915 |
$164K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
344 |
146 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
333 |
273 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
178 |
119 |
$2K |
| 81003 |
|
1,194 |
858 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 90688 |
|
17 |
13 |
$170.85 |
| 3008F |
|
1,097 |
895 |
$163.91 |
| 3077F |
|
57 |
42 |
$162.17 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$116.60 |
| 3080F |
|
19 |
13 |
$42.17 |
| 3079F |
|
17 |
13 |
$30.00 |
| 1159F |
|
1,751 |
1,424 |
$0.01 |
| 1160F |
|
1,845 |
1,501 |
$0.00 |