| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,062 |
1,040 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
62 |
61 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
126 |
124 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
37 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
221 |
213 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
82 |
79 |
$2K |
| 87807 |
|
14 |
14 |
$140.84 |