| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,898 |
6,347 |
$360K |
| 99199 |
Unlisted special service, procedure or report |
49,805 |
30,278 |
$300K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,580 |
1,949 |
$176K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,143 |
2,404 |
$171K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
441 |
386 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,332 |
1,137 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,117 |
925 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
2,529 |
1,987 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37 |
27 |
$3K |
| 81003 |
|
1,668 |
1,365 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
17 |
12 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
17 |
14 |
$924.56 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
77 |
53 |
$856.80 |
| 90756 |
|
61 |
42 |
$674.60 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
122 |
105 |
$661.03 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
100 |
50 |
$507.12 |
| 71046 |
Radiologic examination, chest; 2 views |
28 |
24 |
$491.56 |
| 90674 |
|
36 |
27 |
$211.61 |
| 3074F |
|
1,050 |
838 |
$0.03 |
| 3078F |
|
868 |
702 |
$0.03 |
| 3079F |
|
499 |
411 |
$0.00 |
| 3075F |
|
195 |
165 |
$0.00 |