| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
325 |
204 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
68 |
51 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
47 |
33 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
61 |
40 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
80 |
59 |
$260.83 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
29 |
20 |
$258.88 |
| 80053 |
Comprehensive metabolic panel |
27 |
21 |
$247.69 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
16 |
$183.25 |
| 90686 |
|
16 |
12 |
$17.13 |