| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
564 |
425 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
66 |
53 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
22 |
$1K |
| 99199 |
Unlisted special service, procedure or report |
280 |
280 |
$840.70 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
46 |
29 |
$540.33 |
| 36415 |
Collection of venous blood by venipuncture |
231 |
178 |
$372.60 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
16 |
$367.38 |
| 81003 |
|
37 |
30 |
$55.40 |