| Code | Description | Claims | Beneficiaries | Total Paid |
| 99444 |
|
2,063 |
388 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,552 |
1,375 |
$25K |
| 99423 |
|
249 |
63 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
423 |
397 |
$5K |
| 99442 |
|
136 |
119 |
$1K |
| 99443 |
|
64 |
53 |
$583.31 |
| 94664 |
|
13 |
13 |
$113.26 |
| 93000 |
|
12 |
12 |
$85.37 |
| 36415 |
Collection of venous blood by venipuncture |
94 |
91 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
115 |
113 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
32 |
32 |
$0.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
61 |
13 |
$0.00 |
| 99497 |
|
13 |
13 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
60 |
30 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
18 |
$0.00 |