| Code | Description | Claims | Beneficiaries | Total Paid |
| 97813 |
|
512 |
302 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
977 |
906 |
$488.93 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
82 |
82 |
$255.87 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
29 |
$10.16 |
| 92551 |
|
48 |
48 |
$10.10 |
| 99000 |
|
226 |
224 |
$7.18 |
| 3008F |
|
726 |
671 |
$0.00 |
| 3353F |
|
12 |
12 |
$0.00 |
| 97026 |
|
521 |
303 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
236 |
234 |
$0.00 |
| 1111F |
|
203 |
185 |
$0.00 |
| 3074F |
|
258 |
251 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
287 |
166 |
$0.00 |
| 3075F |
|
28 |
28 |
$0.00 |
| 97814 |
|
510 |
302 |
$0.00 |
| 1170F |
|
13 |
13 |
$0.00 |
| 1126F |
|
301 |
300 |
$0.00 |
| 97124 |
|
202 |
124 |
$0.00 |
| 1157F |
|
173 |
172 |
$0.00 |
| 3351F |
|
49 |
49 |
$0.00 |
| 1220F |
|
92 |
92 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |
| 1125F |
|
62 |
62 |
$0.00 |
| 3079F |
|
90 |
89 |
$0.00 |
| 0545F |
|
14 |
14 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
25 |
24 |
$0.00 |
| 3078F |
|
356 |
341 |
$0.00 |
| 1160F |
|
194 |
192 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
52 |
52 |
$0.00 |
| 1159F |
|
437 |
433 |
$0.00 |
| 3077F |
|
87 |
86 |
$0.00 |
| 81002 |
|
42 |
41 |
$0.00 |
| 99173 |
|
46 |
46 |
$0.00 |