| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,212 |
2,775 |
$242K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,026 |
1,780 |
$108K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
287 |
256 |
$10K |
| 87430 |
|
577 |
516 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
153 |
137 |
$2K |
| 87400 |
|
216 |
104 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
170 |
147 |
$510.52 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$179.41 |
| 81003 |
|
45 |
41 |
$89.92 |