| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
540 |
492 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
349 |
300 |
$19K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
226 |
163 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
25 |
$573.90 |
| 36415 |
Collection of venous blood by venipuncture |
170 |
128 |
$377.37 |
| 86738 |
|
54 |
32 |
$252.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
36 |
20 |
$247.36 |
| 81001 |
|
89 |
65 |
$142.00 |