| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,637 |
3,132 |
$261K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,456 |
1,300 |
$70K |
| 96160 |
|
1,597 |
1,308 |
$14K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
52 |
51 |
$4K |
| 90686 |
|
116 |
82 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
814 |
682 |
$668.16 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
13 |
$264.78 |
| 4004F |
|
147 |
122 |
$0.00 |
| 1036F |
|
1,434 |
1,190 |
$0.00 |
| 3017F |
|
435 |
379 |
$0.00 |
| 3014F |
|
19 |
18 |
$0.00 |