| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,645 |
3,137 |
$215K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
266 |
264 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
288 |
273 |
$21K |
| 36415 |
Collection of venous blood by venipuncture |
2,282 |
2,146 |
$8K |
| 90686 |
|
116 |
113 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
15 |
$2K |
| 99497 |
|
32 |
31 |
$1K |
| 99385 |
|
13 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
131 |
129 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
15 |
$384.88 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
25 |
$315.05 |
| 96160 |
|
67 |
67 |
$34.76 |
| 3074F |
|
200 |
189 |
$0.40 |
| 3078F |
|
179 |
166 |
$0.33 |
| 3044F |
|
137 |
126 |
$0.01 |