| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
725 |
548 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
140 |
120 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
273 |
103 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
117 |
103 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
140 |
111 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
21 |
20 |
$869.70 |
| 81002 |
|
68 |
58 |
$156.00 |
| 81025 |
|
35 |
26 |
$87.72 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
15 |
$4.10 |
| 99000 |
|
42 |
42 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
30 |
26 |
$0.00 |
| 99051 |
|
16 |
14 |
$0.00 |