| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
193 |
181 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
45 |
42 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
112 |
106 |
$930.61 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
46 |
41 |
$897.49 |
| 36415 |
Collection of venous blood by venipuncture |
21 |
21 |
$35.94 |
| 81002 |
|
15 |
15 |
$22.60 |