| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,493 |
4,259 |
$181K |
| 99233 |
Prolong inpt eval add15 m |
384 |
123 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
152 |
139 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
73 |
58 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
131 |
48 |
$932.23 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
12 |
$751.80 |
| 36415 |
Collection of venous blood by venipuncture |
297 |
256 |
$485.22 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
22 |
16 |
$183.82 |