| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,302 |
1,870 |
$283K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
189 |
174 |
$30K |
| 81003 |
|
1,164 |
859 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
111 |
108 |
$20K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
338 |
321 |
$12K |
| 80053 |
Comprehensive metabolic panel |
84 |
77 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
42 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$2K |
| 81001 |
|
14 |
12 |
$466.20 |
| 81025 |
|
14 |
13 |
$466.20 |
| 36415 |
Collection of venous blood by venipuncture |
24 |
24 |
$410.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$259.33 |