| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,312 |
2,055 |
$101K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
754 |
591 |
$49K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
411 |
384 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
490 |
433 |
$11K |
| 87428 |
|
161 |
156 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
332 |
118 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
269 |
199 |
$4K |
| 29065 |
|
18 |
14 |
$2K |
| 87081 |
|
135 |
97 |
$762.99 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
25 |
14 |
$212.43 |