| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,269 |
949 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
485 |
298 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
349 |
240 |
$15K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
160 |
145 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
221 |
161 |
$3K |
| 97597 |
|
33 |
26 |
$724.62 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19 |
14 |
$489.84 |
| 81003 |
|
149 |
87 |
$324.03 |
| 81025 |
|
24 |
12 |
$98.18 |