| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,267 |
2,308 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
368 |
338 |
$17K |
| 94060 |
|
561 |
524 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
598 |
550 |
$10K |
| 93000 |
|
1,028 |
967 |
$8K |
| 95923 |
|
22 |
14 |
$967.49 |
| 81002 |
|
221 |
214 |
$408.55 |
| 90688 |
|
66 |
65 |
$320.30 |
| 36415 |
Collection of venous blood by venipuncture |
1,395 |
1,313 |
$249.61 |
| 99497 |
|
26 |
25 |
$209.59 |
| 93923 |
|
15 |
12 |
$195.93 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$130.67 |
| 95921 |
|
19 |
14 |
$122.26 |
| G0008 |
Administration of influenza virus vaccine |
41 |
39 |
$16.12 |
| 1123F |
|
13 |
12 |
$0.00 |