| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
819 |
803 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
318 |
314 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
184 |
118 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
209 |
208 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
21 |
21 |
$3K |
| 87081 |
|
72 |
72 |
$708.70 |