| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
165 |
137 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
33 |
$465.60 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29 |
29 |
$407.40 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
37 |
36 |
$337.04 |
| 92551 |
|
16 |
16 |
$168.90 |
| 36415 |
Collection of venous blood by venipuncture |
32 |
31 |
$100.80 |
| 80053 |
Comprehensive metabolic panel |
14 |
13 |
$97.68 |
| 81003 |
|
19 |
19 |
$50.70 |