| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
686 |
617 |
$23K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
220 |
213 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
98 |
90 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
57 |
56 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
40 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
42 |
38 |
$763.52 |
| 0001A |
|
16 |
15 |
$529.49 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
90 |
43 |
$455.43 |
| 0002A |
|
12 |
12 |
$448.03 |
| 90686 |
|
28 |
25 |
$335.69 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
131 |
126 |
$16.77 |