| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,240 |
4,500 |
$248K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,754 |
6,408 |
$243K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
370 |
330 |
$36K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,924 |
1,737 |
$30K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,112 |
945 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
155 |
143 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
96 |
87 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
117 |
98 |
$4K |
| 99306 |
Prolong nursin fac eval 15m |
36 |
35 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
35 |
32 |
$2K |
| 90756 |
|
436 |
395 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
98 |
70 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
396 |
388 |
$618.00 |
| 36415 |
Collection of venous blood by venipuncture |
652 |
602 |
$274.60 |
| 90688 |
|
17 |
17 |
$80.75 |
| 90686 |
|
66 |
64 |
$80.70 |
| 3078F |
|
941 |
798 |
$20.00 |
| 3074F |
|
976 |
836 |
$20.00 |
| 3077F |
|
299 |
271 |
$10.00 |
| 3080F |
|
89 |
81 |
$10.00 |
| 81003 |
|
83 |
77 |
$6.40 |
| 1160F |
|
232 |
203 |
$0.00 |
| 1159F |
|
232 |
203 |
$0.00 |
| 99497 |
|
18 |
15 |
$0.00 |
| 1126F |
|
418 |
380 |
$0.00 |
| 3079F |
|
335 |
290 |
$0.00 |
| 99000 |
|
202 |
185 |
$0.00 |
| 3075F |
|
161 |
128 |
$0.00 |
| 1125F |
|
23 |
20 |
$0.00 |