| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,851 |
3,240 |
$287K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
480 |
440 |
$41K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
76 |
76 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59 |
56 |
$3K |
| 81025 |
|
662 |
542 |
$3K |
| 96160 |
|
212 |
183 |
$2K |
| 81002 |
|
597 |
486 |
$2K |
| 90686 |
|
42 |
31 |
$566.14 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
26 |
$422.55 |
| 36415 |
Collection of venous blood by venipuncture |
71 |
56 |
$219.64 |
| 81003 |
|
13 |
13 |
$28.34 |
| 1036F |
|
878 |
685 |
$0.00 |