| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,732 |
2,053 |
$140K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
922 |
795 |
$67K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
156 |
153 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
44 |
19 |
$710.14 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
29 |
$601.25 |
| 90756 |
|
27 |
27 |
$592.93 |
| 87430 |
|
22 |
19 |
$359.75 |
| 90686 |
|
15 |
15 |
$273.07 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13 |
13 |
$159.94 |
| 36415 |
Collection of venous blood by venipuncture |
35 |
34 |
$99.27 |
| 81003 |
|
60 |
59 |
$92.85 |