| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,464 |
1,345 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
899 |
799 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
121 |
113 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
107 |
102 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
88 |
84 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
51 |
25 |
$456.76 |
| 90670 |
|
49 |
42 |
$312.00 |
| 90674 |
|
50 |
46 |
$258.00 |
| 81002 |
|
87 |
80 |
$162.65 |
| 36415 |
Collection of venous blood by venipuncture |
151 |
142 |
$138.00 |
| 90680 |
|
17 |
16 |
$128.00 |