| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,665 |
1,379 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
195 |
162 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
325 |
268 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
14 |
$812.23 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
16 |
$373.50 |
| 36415 |
Collection of venous blood by venipuncture |
72 |
62 |
$118.38 |
| 3725F |
|
239 |
191 |
$0.00 |