| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,943 |
1,380 |
$88K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
328 |
250 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
302 |
102 |
$5K |
| 87430 |
|
324 |
274 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
19 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
288 |
242 |
$1K |
| 81002 |
|
207 |
185 |
$538.20 |
| 83655 |
|
42 |
35 |
$498.12 |
| 92567 |
|
17 |
13 |
$252.14 |
| 36416 |
|
52 |
46 |
$192.70 |
| 85018 |
|
51 |
45 |
$118.32 |
| 85014 |
|
51 |
45 |
$118.32 |