| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
110 |
106 |
$229.49 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
266 |
264 |
$64.00 |
| 81002 |
|
50 |
49 |
$3.29 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
22 |
22 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
15 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
17 |
17 |
$0.00 |