| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,540 |
1,391 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
185 |
164 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
199 |
182 |
$647.05 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
31 |
14 |
$326.62 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$297.90 |
| 84481 |
|
13 |
12 |
$203.28 |
| 84439 |
|
13 |
12 |
$108.24 |
| 1160F |
|
1,136 |
1,005 |
$1.41 |
| 3074F |
|
488 |
435 |
$0.80 |
| 3008F |
|
442 |
395 |
$0.57 |
| 3078F |
|
392 |
351 |
$0.53 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
68 |
58 |
$0.06 |
| 1159F |
|
32 |
27 |
$0.00 |