| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,767 |
8,373 |
$483K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,030 |
4,867 |
$337K |
| 87428 |
|
185 |
167 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
39 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
60 |
56 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
77 |
73 |
$758.28 |
| 36415 |
Collection of venous blood by venipuncture |
211 |
192 |
$337.41 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
156 |
141 |
$244.26 |
| 81003 |
|
94 |
88 |
$188.59 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
20 |
12 |
$97.69 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
12 |
$95.95 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
16 |
12 |
$12.55 |
| 96127 |
|
16 |
14 |
$4.45 |
| 1159F |
|
1,607 |
1,411 |
$0.01 |
| 1160F |
|
1,608 |
1,414 |
$0.01 |
| 1036F |
|
56 |
50 |
$0.01 |
| 3078F |
|
98 |
89 |
$0.00 |
| 3725F |
|
33 |
32 |
$0.00 |
| 3079F |
|
97 |
95 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15 |
12 |
$0.00 |
| 3074F |
|
244 |
226 |
$0.00 |
| 3075F |
|
29 |
27 |
$0.00 |