| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
523 |
475 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
309 |
291 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
342 |
312 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
90 |
85 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
107 |
107 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
97 |
86 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
105 |
99 |
$965.51 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
14 |
$194.25 |
| 81003 |
|
15 |
15 |
$22.20 |