| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
190 |
178 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37 |
37 |
$5K |
| 99215 |
Prolong outpt/office vis |
20 |
19 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35 |
35 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
128 |
67 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
79 |
77 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
24 |
21 |
$611.52 |
| 99406 |
|
21 |
16 |
$234.78 |
| 80053 |
Comprehensive metabolic panel |
19 |
19 |
$191.52 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
20 |
20 |
$148.00 |
| 81025 |
|
13 |
12 |
$96.07 |
| 36415 |
Collection of venous blood by venipuncture |
37 |
37 |
$83.07 |
| 81000 |
|
20 |
19 |
$69.00 |
| 81003 |
|
13 |
12 |
$21.30 |