| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
394 |
342 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
374 |
330 |
$10K |
| 1159F |
|
618 |
551 |
$3K |
| 3008F |
|
669 |
586 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
16 |
$1K |
| 96127 |
|
130 |
106 |
$532.22 |
| 36415 |
Collection of venous blood by venipuncture |
207 |
184 |
$227.25 |
| 92552 |
|
13 |
13 |
$167.83 |
| 96160 |
|
59 |
51 |
$124.36 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
16 |
$115.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$87.36 |
| 99499 |
|
103 |
86 |
$0.00 |
| 99072 |
|
148 |
127 |
$0.00 |
| 1003F |
|
14 |
14 |
$0.00 |