| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
782 |
571 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
101 |
93 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
231 |
103 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
135 |
101 |
$681.91 |
| 36415 |
Collection of venous blood by venipuncture |
271 |
195 |
$336.98 |
| 81003 |
|
264 |
215 |
$299.53 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
14 |
$175.01 |
| 99173 |
|
34 |
32 |
$111.88 |
| 92551 |
|
12 |
12 |
$87.58 |
| 81002 |
|
14 |
12 |
$10.60 |