| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
7,984 |
7,096 |
$907K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,638 |
5,342 |
$422K |
| 80305 |
|
4,836 |
4,425 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
194 |
183 |
$13K |
| 99205 |
Prolong outpt/office vis |
43 |
38 |
$6K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
267 |
133 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
742 |
603 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
61 |
57 |
$848.16 |
| 81002 |
|
482 |
371 |
$611.90 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
33 |
31 |
$457.09 |
| 99406 |
|
20 |
16 |
$154.93 |
| 81003 |
|
138 |
129 |
$102.87 |
| G0008 |
Administration of influenza virus vaccine |
24 |
17 |
$50.34 |