| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,429 |
2,295 |
$193K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,332 |
3,092 |
$157K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
269 |
264 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
291 |
288 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
48 |
48 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
26 |
19 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
116 |
113 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
20 |
12 |
$1K |
| 87428 |
|
15 |
15 |
$926.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
18 |
$461.70 |
| 81003 |
|
112 |
109 |
$241.98 |
| 87807 |
|
14 |
14 |
$136.82 |