| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,416 |
4,212 |
$237K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,545 |
1,972 |
$116K |
| 99215 |
Prolong outpt/office vis |
1,730 |
1,414 |
$94K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
617 |
560 |
$47K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
17 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
33 |
31 |
$513.05 |
| 87400 |
|
21 |
19 |
$155.43 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$97.13 |