| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,656 |
4,042 |
$214K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
154 |
128 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
125 |
122 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
13 |
13 |
$934.18 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
21 |
19 |
$324.50 |
| 81002 |
|
44 |
43 |
$117.69 |
| 36415 |
Collection of venous blood by venipuncture |
69 |
65 |
$25.58 |