| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
313 |
297 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
133 |
130 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
144 |
69 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
97 |
97 |
$877.32 |
| 36415 |
Collection of venous blood by venipuncture |
34 |
34 |
$85.92 |