| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
918 |
661 |
$43K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
167 |
154 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
117 |
105 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
138 |
108 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
86 |
41 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
95 |
78 |
$676.40 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
70 |
62 |
$575.19 |
| 87807 |
|
19 |
17 |
$237.76 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
12 |
$211.26 |
| 90670 |
|
52 |
48 |
$0.00 |
| 36416 |
|
63 |
55 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
12 |
$0.00 |