| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,149 |
1,643 |
$109K |
| 96130 |
|
1,167 |
855 |
$73K |
| 96120 |
|
1,965 |
1,546 |
$68K |
| 96103 |
|
2,264 |
1,701 |
$47K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
712 |
636 |
$44K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
530 |
494 |
$39K |
| 96136 |
|
1,205 |
876 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
389 |
335 |
$13K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
632 |
540 |
$13K |
| 99354 |
|
206 |
183 |
$11K |
| 93000 |
|
612 |
528 |
$10K |
| 81000 |
|
2,153 |
1,563 |
$8K |
| 82948 |
|
2,036 |
1,557 |
$8K |
| 99050 |
|
334 |
280 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
537 |
461 |
$6K |
| 99402 |
|
107 |
97 |
$6K |
| 81025 |
|
924 |
786 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
454 |
397 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,109 |
1,681 |
$5K |
| 99497 |
|
167 |
125 |
$5K |
| 87210 |
|
1,181 |
979 |
$5K |
| 85018 |
|
1,474 |
1,206 |
$4K |
| 85013 |
|
1,179 |
869 |
$4K |
| 99385 |
|
87 |
58 |
$4K |
| 82962 |
|
1,162 |
856 |
$4K |
| 81003 |
|
1,147 |
843 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
24 |
$2K |
| 69210 |
|
21 |
14 |
$765.77 |
| 92552 |
|
12 |
12 |
$188.20 |
| 96127 |
|
17 |
16 |
$67.38 |
| 96160 |
|
82 |
42 |
$63.00 |
| 99215 |
Prolong outpt/office vis |
22 |
19 |
$0.00 |