| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,929 |
3,733 |
$138K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,607 |
2,802 |
$96K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,937 |
1,700 |
$15K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,440 |
1,221 |
$13K |
| 95923 |
|
100 |
61 |
$4K |
| 99442 |
|
229 |
138 |
$3K |
| 93922 |
|
99 |
60 |
$2K |
| 95943 |
|
96 |
57 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
738 |
580 |
$804.28 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$793.87 |
| 3074F |
|
1,044 |
794 |
$685.73 |
| 99318 |
|
60 |
47 |
$574.45 |
| 3078F |
|
712 |
535 |
$415.74 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34 |
30 |
$339.70 |
| 99305 |
|
14 |
12 |
$324.42 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
13 |
$301.04 |
| 99443 |
|
24 |
14 |
$270.87 |
| 99497 |
|
29 |
14 |
$264.18 |
| 3079F |
|
215 |
185 |
$255.50 |
| 1125F |
|
292 |
216 |
$235.51 |
| 93000 |
|
18 |
13 |
$150.37 |
| 1160F |
|
153 |
124 |
$100.00 |
| 1159F |
|
150 |
122 |
$70.00 |
| 3075F |
|
839 |
642 |
$70.00 |
| 99307 |
|
14 |
12 |
$55.53 |
| 81002 |
|
49 |
34 |
$52.07 |
| 3008F |
|
179 |
136 |
$50.00 |
| 1126F |
|
12 |
12 |
$20.00 |
| 1111F |
|
17 |
16 |
$20.00 |
| 3077F |
|
24 |
17 |
$5.50 |
| 0521F |
|
43 |
28 |
$0.00 |
| 0513F |
|
43 |
30 |
$0.00 |
| 4010F |
|
23 |
16 |
$0.00 |
| 3044F |
|
21 |
14 |
$0.00 |
| 3011F |
|
41 |
28 |
$0.00 |
| 3061F |
|
14 |
13 |
$0.00 |