| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
730 |
655 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
418 |
381 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
13 |
$251.20 |
| 96160 |
|
15 |
14 |
$135.00 |
| 36415 |
Collection of venous blood by venipuncture |
67 |
63 |
$1.38 |
| 1036F |
|
84 |
72 |
$0.00 |