| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
631 |
551 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
78 |
75 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
89 |
75 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
46 |
44 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
125 |
122 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
77 |
76 |
$2K |
| 90474 |
|
13 |
13 |
$222.86 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
12 |
$163.79 |
| 36415 |
Collection of venous blood by venipuncture |
82 |
55 |
$12.75 |
| 3078F |
|
322 |
288 |
$0.00 |
| 1159F |
|
247 |
219 |
$0.00 |
| 90670 |
|
25 |
25 |
$0.00 |
| 3074F |
|
386 |
344 |
$0.00 |
| 3008F |
|
482 |
441 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |