| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,757 |
1,203 |
$62K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
172 |
172 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
150 |
133 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
216 |
189 |
$6K |
| 99050 |
|
431 |
390 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
475 |
420 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
64 |
51 |
$2K |
| 81002 |
|
813 |
414 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 12011 |
|
12 |
12 |
$720.00 |
| 96127 |
|
147 |
147 |
$460.11 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$131.56 |
| 87070 |
|
24 |
24 |
$118.32 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
44 |
40 |
$96.81 |
| 87184 |
|
24 |
24 |
$79.92 |
| 36415 |
Collection of venous blood by venipuncture |
53 |
53 |
$57.47 |