| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,664 |
2,072 |
$208K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,142 |
845 |
$68K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
134 |
114 |
$11K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
216 |
183 |
$10K |
| 87070 |
|
196 |
136 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
49 |
41 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
53 |
45 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
29 |
29 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
41 |
40 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
168 |
136 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
78 |
64 |
$1K |
| 81003 |
|
148 |
131 |
$213.54 |
| 81025 |
|
29 |
29 |
$144.30 |