| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
415 |
305 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
332 |
266 |
$20K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
157 |
111 |
$559.57 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
84 |
43 |
$462.07 |
| 87081 |
|
54 |
26 |
$94.32 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
14 |
$72.00 |
| 81003 |
|
13 |
12 |
$22.02 |
| 36416 |
|
174 |
118 |
$3.48 |