| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
401 |
369 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
242 |
235 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
221 |
208 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
88 |
86 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
162 |
131 |
$1K |
| 81003 |
|
50 |
49 |
$102.60 |
| 86403 |
|
12 |
12 |
$62.55 |
| 81002 |
|
39 |
39 |
$44.46 |
| 3078F |
|
166 |
160 |
$0.00 |
| 3074F |
|
267 |
252 |
$0.00 |
| 3079F |
|
119 |
115 |
$0.00 |