| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,143 |
4,142 |
$164K |
| 36415 |
Collection of venous blood by venipuncture |
720 |
615 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$823.36 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
16 |
$486.25 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
38 |
18 |
$398.40 |