| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,801 |
1,541 |
$224K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
298 |
267 |
$58K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
569 |
515 |
$52K |
| 81003 |
|
2,536 |
2,029 |
$37K |
| 81025 |
|
1,180 |
1,129 |
$31K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
32 |
32 |
$3K |
| 87210 |
|
76 |
74 |
$3K |
| H0049 |
Alcohol and/or drug screening |
178 |
161 |
$2K |
| 85027 |
|
20 |
20 |
$662.20 |
| 83986 |
|
41 |
41 |
$549.85 |