| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,901 |
2,580 |
$98K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
181 |
166 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
79 |
74 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
148 |
144 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
18 |
$2K |
| 90670 |
|
38 |
38 |
$406.98 |
| 36415 |
Collection of venous blood by venipuncture |
158 |
148 |
$312.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20 |
19 |
$296.47 |
| 90723 |
|
26 |
26 |
$278.46 |
| 90686 |
|
25 |
25 |
$257.04 |
| 90648 |
|
12 |
12 |
$128.52 |
| 81002 |
|
27 |
26 |
$93.96 |