| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
787 |
633 |
$41K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
225 |
200 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
303 |
224 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
222 |
187 |
$7K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
27 |
27 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
155 |
133 |
$2K |
| 87808 |
|
58 |
45 |
$907.70 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
30 |
$687.42 |
| 81002 |
|
201 |
162 |
$507.00 |
| 87905 |
|
55 |
44 |
$463.76 |
| 81025 |
|
132 |
116 |
$332.82 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
13 |
$107.91 |
| 36415 |
Collection of venous blood by venipuncture |
65 |
62 |
$77.90 |