| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
652 |
336 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
512 |
465 |
$37K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
189 |
90 |
$23K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
63 |
62 |
$5K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
93 |
49 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
111 |
103 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
75 |
43 |
$918.27 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
60 |
47 |
$642.63 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
13 |
12 |
$193.91 |
| 81002 |
|
28 |
14 |
$65.24 |
| 90686 |
|
21 |
21 |
$10.50 |