| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
526 |
402 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
270 |
240 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
360 |
188 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
66 |
63 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
262 |
247 |
$3K |
| 99215 |
Prolong outpt/office vis |
16 |
12 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
37 |
32 |
$724.20 |
| 36415 |
Collection of venous blood by venipuncture |
131 |
122 |
$289.18 |
| 81003 |
|
44 |
41 |
$91.84 |