| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,122 |
418 |
$46K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
307 |
98 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
133 |
29 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
73 |
25 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
54 |
25 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$594.10 |
| 3008F |
|
18 |
16 |
$0.00 |