| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,029 |
4,360 |
$126K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,792 |
1,597 |
$51K |
| 3008F |
|
1,897 |
1,690 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,793 |
1,627 |
$2K |
| 90688 |
|
195 |
184 |
$2K |
| 3074F |
|
732 |
640 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
36 |
$1K |
| 1159F |
|
1,398 |
1,222 |
$830.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
103 |
98 |
$761.82 |
| 3078F |
|
299 |
255 |
$640.00 |
| 3079F |
|
390 |
347 |
$500.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
28 |
$318.81 |
| 1160F |
|
669 |
586 |
$270.00 |
| 81002 |
|
46 |
38 |
$81.06 |
| 3075F |
|
45 |
41 |
$10.00 |
| 87081 |
|
12 |
12 |
$0.00 |