| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
544 |
425 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
255 |
214 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
314 |
275 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
42 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
101 |
86 |
$1K |
| 81003 |
|
33 |
26 |
$78.20 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
13 |
$42.18 |
| 3008F |
|
692 |
509 |
$0.00 |
| 99050 |
|
76 |
60 |
$0.00 |