| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
400 |
321 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34 |
27 |
$2K |
| 99403 |
|
14 |
14 |
$1K |
| 92015 |
Determination of refractive state |
20 |
18 |
$730.55 |
| 94760 |
|
443 |
307 |
$603.45 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
49 |
33 |
$542.08 |
| 36415 |
Collection of venous blood by venipuncture |
20 |
17 |
$53.04 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$0.00 |