| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,115 |
2,614 |
$349K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,542 |
2,247 |
$191K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,838 |
1,802 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
374 |
374 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
176 |
176 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
110 |
110 |
$11K |
| 99051 |
|
1,165 |
1,107 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
177 |
176 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
171 |
163 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
350 |
327 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
62 |
54 |
$1K |
| 92551 |
|
153 |
153 |
$1K |
| 96127 |
|
233 |
233 |
$1K |
| 96160 |
|
233 |
233 |
$838.09 |
| 99173 |
|
103 |
103 |
$156.51 |
| 90686 |
|
96 |
96 |
$96.80 |
| 90672 |
|
44 |
44 |
$14.15 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$7.02 |
| 99072 |
|
29 |
28 |
$0.00 |
| 99000 |
|
1,954 |
1,774 |
$0.00 |
| 99070 |
|
16 |
16 |
$0.00 |