| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,331 |
1,007 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,086 |
871 |
$22K |
| 87428 |
|
163 |
131 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
293 |
226 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
710 |
597 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
89 |
57 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
41 |
31 |
$566.25 |
| 36415 |
Collection of venous blood by venipuncture |
578 |
479 |
$524.13 |
| 90686 |
|
20 |
14 |
$41.06 |