| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,826 |
4,081 |
$348K |
| 99215 |
Prolong outpt/office vis |
1,039 |
882 |
$97K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
112 |
97 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
163 |
134 |
$10K |
| 90658 |
|
129 |
117 |
$2K |
| 90649 |
|
46 |
45 |
$791.60 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
14 |
$728.00 |
| 36415 |
Collection of venous blood by venipuncture |
359 |
299 |
$563.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
13 |
$168.00 |