| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
529 |
465 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
530 |
469 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
70 |
61 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
27 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
97 |
46 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
86 |
78 |
$992.50 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
14 |
$961.99 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
47 |
47 |
$692.74 |
| 90670 |
|
28 |
26 |
$303.00 |
| 90686 |
|
18 |
18 |
$218.91 |
| 36415 |
Collection of venous blood by venipuncture |
86 |
78 |
$181.91 |
| 90698 |
|
13 |
12 |
$132.00 |
| 85018 |
|
34 |
34 |
$93.30 |
| 36416 |
|
33 |
33 |
$33.06 |