| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,585 |
1,324 |
$91K |
| 3074F |
|
835 |
744 |
$225.00 |
| 36415 |
Collection of venous blood by venipuncture |
96 |
88 |
$215.76 |
| 1160F |
|
2,359 |
1,919 |
$175.00 |
| 1159F |
|
2,360 |
1,920 |
$175.00 |
| 3078F |
|
345 |
315 |
$150.00 |
| 3077F |
|
238 |
187 |
$100.00 |
| 3079F |
|
368 |
334 |
$75.00 |
| 3080F |
|
183 |
142 |
$50.00 |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
12 |
12 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
24 |
24 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
114 |
102 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
24 |
24 |
$0.00 |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
374 |
107 |
$0.00 |
| 3075F |
|
44 |
40 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$0.00 |
| 93000 |
|
19 |
19 |
$0.00 |