| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,383 |
2,927 |
$164K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,049 |
1,769 |
$57K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29 |
24 |
$508.49 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$115.83 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14 |
13 |
$57.11 |
| 36415 |
Collection of venous blood by venipuncture |
58 |
50 |
$15.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
31 |
24 |
$8.76 |