| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
661 |
644 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
161 |
161 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
96 |
96 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
46 |
34 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$1K |
| 87070 |
|
12 |
12 |
$111.51 |