| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
819 |
603 |
$32K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
30 |
$402.57 |
| 36415 |
Collection of venous blood by venipuncture |
84 |
70 |
$227.31 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
42 |
38 |
$169.79 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
15 |
12 |
$19.99 |
| 1036F |
|
89 |
75 |
$0.00 |
| 1126F |
|
24 |
24 |
$0.00 |
| 1159F |
|
116 |
98 |
$0.00 |
| 3078F |
|
69 |
64 |
$0.00 |
| 1160F |
|
116 |
98 |
$0.00 |