| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,788 |
1,991 |
$90K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
94 |
28 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
156 |
145 |
$2K |
| 92552 |
|
49 |
47 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,119 |
823 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$963.61 |
| 99173 |
|
110 |
95 |
$207.23 |
| 81000 |
|
88 |
64 |
$178.16 |
| 90658 |
|
17 |
14 |
$169.26 |
| 82044 |
|
68 |
55 |
$71.68 |
| 85018 |
|
17 |
15 |
$40.23 |
| G0008 |
Administration of influenza virus vaccine |
31 |
13 |
$9.00 |