| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
669 |
528 |
$48K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
80 |
71 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
67 |
54 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
34 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
103 |
91 |
$183.66 |
| 99000 |
|
236 |
207 |
$169.28 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$152.46 |