| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
553 |
478 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
151 |
114 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
12 |
$283.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$148.80 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
21 |
15 |
$69.04 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
25 |
$37.80 |