| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,527 |
1,307 |
$70K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
518 |
479 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
152 |
112 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
88 |
83 |
$777.19 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
46 |
37 |
$520.43 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
48 |
45 |
$515.29 |
| 1160F |
|
219 |
193 |
$340.00 |
| 1159F |
|
219 |
193 |
$340.00 |
| 3074F |
|
143 |
129 |
$190.00 |
| 3078F |
|
142 |
125 |
$190.00 |
| 81003 |
|
31 |
30 |
$37.00 |
| 3079F |
|
12 |
12 |
$10.00 |