| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
960 |
843 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
377 |
322 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,015 |
441 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
785 |
689 |
$4K |
| 3008F |
|
103 |
83 |
$420.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
26 |
$331.83 |
| 81003 |
|
20 |
13 |
$15.68 |