| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,381 |
5,287 |
$450K |
| 99215 |
Prolong outpt/office vis |
908 |
842 |
$63K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
118 |
110 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
78 |
67 |
$7K |
| 96160 |
|
761 |
655 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
60 |
47 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
57 |
43 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
14 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
53 |
$776.35 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
36 |
34 |
$460.72 |
| 90734 |
|
20 |
13 |
$315.97 |
| 36415 |
Collection of venous blood by venipuncture |
50 |
43 |
$131.20 |
| 1036F |
|
1,463 |
1,191 |
$0.00 |
| 3017F |
|
111 |
100 |
$0.00 |
| 4004F |
|
118 |
94 |
$0.00 |