| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
196 |
170 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
53 |
48 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35 |
31 |
$2K |
| 96127 |
|
59 |
35 |
$1K |
| 96160 |
|
64 |
45 |
$861.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$391.25 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
21 |
17 |
$329.70 |
| 90686 |
|
38 |
35 |
$224.00 |
| 36415 |
Collection of venous blood by venipuncture |
65 |
48 |
$213.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
15 |
$150.50 |