| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,059 |
827 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
508 |
404 |
$18K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
60 |
53 |
$466.78 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
17 |
$262.85 |
| 36415 |
Collection of venous blood by venipuncture |
100 |
90 |
$233.21 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
52 |
25 |
$131.84 |