| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,989 |
2,131 |
$182K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
164 |
110 |
$17K |
| 80305 |
|
1,093 |
685 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
96 |
92 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
116 |
113 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
92 |
79 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
149 |
139 |
$1K |
| 81003 |
|
15 |
15 |
$23.52 |