| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,817 |
2,707 |
$139K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,646 |
1,574 |
$63K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
975 |
946 |
$24K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
226 |
216 |
$4K |
| 99051 |
|
582 |
532 |
$912.40 |
| 36415 |
Collection of venous blood by venipuncture |
1,052 |
996 |
$756.94 |
| 81002 |
|
671 |
616 |
$749.01 |
| 3078F |
|
735 |
706 |
$482.50 |
| 99442 |
|
15 |
14 |
$389.90 |
| 3077F |
|
366 |
355 |
$355.00 |
| 3074F |
|
506 |
494 |
$327.50 |
| 0003A |
|
12 |
12 |
$320.00 |
| 3079F |
|
368 |
354 |
$205.00 |
| 1159F |
|
251 |
232 |
$140.00 |
| 1170F |
|
201 |
197 |
$105.00 |
| 1160F |
|
184 |
172 |
$72.50 |
| 97803 |
|
16 |
15 |
$31.91 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$30.00 |
| 91300 |
|
14 |
14 |
$15.03 |
| S0315 |
Disease management program; initial assessment and initiation of the program |
120 |
118 |
$0.02 |
| 91301 |
|
16 |
16 |
$0.01 |
| 1090F |
|
115 |
113 |
$0.00 |
| 1003F |
|
12 |
12 |
$0.00 |
| 3288F |
|
15 |
14 |
$0.00 |
| 99072 |
|
15 |
15 |
$0.00 |
| 3048F |
|
73 |
71 |
$0.00 |
| 0001F |
|
195 |
186 |
$0.00 |
| 3044F |
|
133 |
131 |
$0.00 |
| 99429 |
|
27 |
25 |
$0.00 |
| 1126F |
|
15 |
15 |
$0.00 |
| 1125F |
|
12 |
12 |
$0.00 |
| 3061F |
|
12 |
12 |
$0.00 |