| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
775 |
652 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
201 |
182 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
133 |
56 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
58 |
57 |
$781.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
24 |
$624.25 |
| 90686 |
|
17 |
17 |
$225.08 |
| 36415 |
Collection of venous blood by venipuncture |
77 |
74 |
$202.92 |
| 90670 |
|
12 |
12 |
$155.40 |