| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,837 |
1,057 |
$80K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
116 |
91 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
114 |
73 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
14 |
13 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
26 |
$338.28 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
15 |
$328.24 |
| 90688 |
|
39 |
13 |
$77.95 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
105 |
33 |
$0.00 |