| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,582 |
4,592 |
$349K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,907 |
4,490 |
$251K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
248 |
115 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
180 |
162 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
24 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
960 |
867 |
$1K |
| 99000 |
|
480 |
439 |
$621.13 |
| 87428 |
|
15 |
15 |
$467.18 |
| 90688 |
|
22 |
20 |
$119.78 |
| G0008 |
Administration of influenza virus vaccine |
18 |
16 |
$0.00 |