| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,330 |
1,875 |
$87K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
585 |
503 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
40 |
38 |
$3K |
| 86328 |
|
31 |
28 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
78 |
35 |
$1K |
| 99215 |
Prolong outpt/office vis |
18 |
17 |
$932.26 |
| 92552 |
|
112 |
105 |
$802.86 |
| 81003 |
|
514 |
437 |
$750.81 |
| 81025 |
|
16 |
12 |
$86.04 |
| 99173 |
|
64 |
64 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
526 |
493 |
$0.00 |