| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
167 |
129 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
160 |
144 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
82 |
34 |
$964.98 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
43 |
34 |
$503.63 |
| 36415 |
Collection of venous blood by venipuncture |
31 |
27 |
$175.92 |