| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
733 |
602 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
854 |
743 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
106 |
91 |
$5K |
| 95943 |
|
70 |
54 |
$4K |
| 95923 |
|
50 |
38 |
$3K |
| 99408 |
|
267 |
236 |
$3K |
| 93922 |
|
91 |
78 |
$3K |
| 96103 |
|
172 |
157 |
$2K |
| 80305 |
|
206 |
172 |
$943.76 |
| 99384 |
|
12 |
12 |
$908.05 |
| 99401 |
|
105 |
94 |
$797.70 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
29 |
$355.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
40 |
34 |
$309.28 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
15 |
$226.02 |
| 96127 |
|
83 |
68 |
$201.04 |
| 36415 |
Collection of venous blood by venipuncture |
95 |
80 |
$99.76 |
| 94760 |
|
20 |
18 |
$43.66 |
| 81002 |
|
17 |
12 |
$16.49 |
| 99406 |
|
13 |
13 |
$0.00 |