| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,683 |
6,876 |
$693K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
6,163 |
3,862 |
$343K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,736 |
1,321 |
$24K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
724 |
473 |
$16K |
| 80305 |
|
1,579 |
911 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
263 |
233 |
$10K |
| 99215 |
Prolong outpt/office vis |
93 |
84 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
161 |
150 |
$2K |
| 0003A |
|
16 |
16 |
$640.00 |
| 90658 |
|
50 |
50 |
$528.33 |
| 36415 |
Collection of venous blood by venipuncture |
178 |
148 |
$291.00 |
| 81002 |
|
15 |
12 |
$27.84 |
| 91300 |
|
60 |
51 |
$0.52 |
| 90686 |
|
140 |
138 |
$0.00 |
| H2000 |
Comprehensive multidisciplinary evaluation |
17 |
17 |
$0.00 |