| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,635 |
8,688 |
$464K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,400 |
3,007 |
$104K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
222 |
210 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
168 |
159 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
177 |
156 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
94 |
89 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
21 |
21 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
73 |
63 |
$1K |
| 99499 |
|
99 |
76 |
$885.00 |
| 36415 |
Collection of venous blood by venipuncture |
313 |
289 |
$447.33 |
| 81002 |
|
243 |
182 |
$373.10 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
40 |
14 |
$273.00 |