| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
280 |
277 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
36 |
$3K |
| 99051 |
|
104 |
103 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
49 |
49 |
$644.30 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
43 |
43 |
$304.01 |
| 81025 |
|
26 |
26 |
$176.50 |
| 36415 |
Collection of venous blood by venipuncture |
63 |
63 |
$135.52 |
| 81003 |
|
12 |
12 |
$24.48 |