| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
258 |
250 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
98 |
93 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
69 |
68 |
$893.16 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
63 |
61 |
$798.28 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
15 |
$712.05 |
| 81003 |
|
12 |
12 |
$27.95 |