| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
191 |
151 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
18 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
62 |
20 |
$544.96 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
46 |
33 |
$507.85 |
| 36415 |
Collection of venous blood by venipuncture |
53 |
48 |
$204.19 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
23 |
20 |
$177.78 |