| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,414 |
1,228 |
$44K |
| 87428 |
|
601 |
500 |
$35K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,480 |
1,332 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
277 |
256 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
340 |
298 |
$5K |
| T1015 |
Clinic visit/encounter, all-inclusive |
170 |
159 |
$836.38 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$676.92 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
66 |
62 |
$457.96 |
| 87400 |
|
66 |
33 |
$411.52 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$40.00 |