| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,795 |
1,949 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
190 |
148 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
297 |
202 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
204 |
179 |
$3K |
| 99307 |
|
231 |
157 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
14 |
$789.74 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$713.90 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
21 |
13 |
$620.51 |
| 71046 |
Radiologic examination, chest; 2 views |
33 |
29 |
$610.10 |
| 36415 |
Collection of venous blood by venipuncture |
263 |
189 |
$252.65 |
| 90686 |
|
14 |
12 |
$177.54 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
20 |
15 |
$171.60 |
| 99173 |
|
16 |
14 |
$122.10 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
25 |
18 |
$41.61 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
128 |
83 |
$34.50 |
| 81002 |
|
16 |
12 |
$18.78 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
188 |
133 |
$0.00 |
| 96161 |
|
24 |
16 |
$0.00 |