| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,943 |
1,564 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,324 |
1,020 |
$59K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
904 |
788 |
$50K |
| 99350 |
Prolong home eval add 15m |
624 |
503 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
247 |
216 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
92 |
33 |
$911.92 |
| 99349 |
|
13 |
12 |
$168.18 |
| 99050 |
|
15 |
13 |
$110.01 |
| 99051 |
|
13 |
12 |
$10.11 |