| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
559 |
530 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
109 |
108 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
84 |
84 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
125 |
114 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
30 |
$729.96 |
| 87807 |
|
23 |
20 |
$231.38 |
| 81002 |
|
14 |
12 |
$36.40 |