| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,514 |
6,968 |
$464K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
180 |
168 |
$11K |
| 87428 |
|
117 |
114 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
86 |
84 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
78 |
78 |
$1K |
| 90688 |
|
50 |
50 |
$934.72 |
| 36415 |
Collection of venous blood by venipuncture |
103 |
93 |
$468.27 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$453.64 |
| 96127 |
|
25 |
24 |
$200.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
44 |
37 |
$178.47 |
| 97802 |
|
36 |
35 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |
| 2000F |
|
144 |
122 |
$0.00 |
| 3008F |
|
39 |
38 |
$0.00 |
| 1000F |
|
13 |
13 |
$0.00 |
| 1159F |
|
40 |
38 |
$0.00 |