| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
153 |
147 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43 |
39 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
149 |
70 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
17 |
$977.86 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
60 |
51 |
$652.95 |