| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,986 |
3,550 |
$274K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,274 |
3,810 |
$196K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
551 |
532 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,454 |
1,068 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
276 |
272 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,468 |
1,105 |
$11K |
| 90686 |
|
441 |
426 |
$5K |
| 90670 |
|
519 |
502 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
124 |
109 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
86 |
84 |
$3K |
| 90633 |
|
295 |
276 |
$2K |
| 90651 |
|
280 |
250 |
$2K |
| 90680 |
|
230 |
225 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,060 |
963 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
26 |
$2K |
| 90698 |
|
168 |
166 |
$1K |
| 99462 |
|
24 |
14 |
$931.50 |
| 90671 |
|
89 |
89 |
$672.00 |
| 90710 |
|
82 |
75 |
$576.00 |
| 90648 |
|
83 |
81 |
$536.00 |
| 90619 |
|
71 |
52 |
$416.00 |
| 92551 |
|
96 |
96 |
$388.60 |
| 99173 |
|
98 |
98 |
$384.00 |
| 90696 |
|
55 |
48 |
$376.00 |
| 83655 |
|
25 |
24 |
$375.00 |
| 90734 |
|
52 |
44 |
$320.00 |
| 90677 |
|
50 |
40 |
$304.00 |
| 87807 |
|
62 |
52 |
$253.00 |
| 90744 |
|
25 |
25 |
$192.00 |
| 81003 |
|
69 |
52 |
$126.00 |
| 90688 |
|
13 |
12 |
$123.04 |
| 90715 |
|
28 |
14 |
$112.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
12 |
$110.00 |
| 90723 |
|
25 |
24 |
$80.00 |
| 36416 |
|
27 |
26 |
$0.00 |
| 85018 |
|
26 |
26 |
$0.00 |