| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,213 |
1,126 |
$109K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,046 |
961 |
$68K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
432 |
386 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
69 |
65 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
594 |
279 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53 |
53 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
238 |
205 |
$1K |
| 87807 |
|
84 |
72 |
$452.98 |
| 94760 |
|
420 |
375 |
$161.88 |
| 81002 |
|
39 |
36 |
$100.64 |
| 87501 |
|
16 |
15 |
$35.71 |
| 87430 |
|
20 |
19 |
$0.00 |