| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,736 |
1,692 |
$59K |
| 0002A |
|
634 |
633 |
$25K |
| 0001A |
|
618 |
616 |
$24K |
| 0003A |
|
165 |
165 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
112 |
111 |
$6K |
| 99051 |
|
136 |
135 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
125 |
125 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
102 |
102 |
$766.64 |
| 0124A |
|
15 |
15 |
$616.00 |
| G0008 |
Administration of influenza virus vaccine |
36 |
36 |
$319.00 |
| 90686 |
|
36 |
36 |
$253.00 |
| 3074F |
|
13 |
13 |
$0.00 |