| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
858 |
658 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
62 |
40 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
16 |
14 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
16 |
$515.37 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
66 |
24 |
$463.36 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
23 |
17 |
$420.00 |
| 36415 |
Collection of venous blood by venipuncture |
212 |
148 |
$185.37 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
12 |
$123.82 |
| 90686 |
|
22 |
17 |
$0.00 |