| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
358 |
351 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
180 |
177 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
85 |
84 |
$562.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
25 |
$331.44 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
28 |
$244.42 |
| 81025 |
|
24 |
24 |
$119.07 |
| 81003 |
|
38 |
36 |
$55.10 |