| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,378 |
2,333 |
$255K |
| 99199 |
Unlisted special service, procedure or report |
18,963 |
16,334 |
$92K |
| 80306 |
|
2,032 |
1,293 |
$22K |
| 99215 |
Prolong outpt/office vis |
166 |
136 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
265 |
215 |
$13K |
| 99406 |
|
1,046 |
701 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
518 |
435 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
52 |
41 |
$772.84 |
| 99408 |
|
13 |
13 |
$359.20 |
| 81003 |
|
144 |
123 |
$275.83 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
20 |
15 |
$169.56 |
| 99000 |
|
23 |
14 |
$0.00 |