| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
172 |
90 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
316 |
151 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
13 |
$616.00 |
| 36415 |
Collection of venous blood by venipuncture |
129 |
68 |
$141.00 |
| 94761 |
|
23 |
14 |
$90.00 |
| 80305 |
|
44 |
16 |
$44.88 |
| 87500 |
|
90 |
32 |
$0.00 |
| 87653 |
|
90 |
32 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
267 |
80 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
90 |
32 |
$0.00 |
| 87481 |
|
90 |
32 |
$0.00 |