| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99336 |
|
255 |
155 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
173 |
170 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
158 |
156 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44 |
43 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
16 |
13 |
$776.62 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
27 |
$414.48 |
| 81003 |
|
57 |
54 |
$111.52 |
| 81025 |
|
14 |
13 |
$66.14 |
| 99051 |
|
35 |
35 |
$0.00 |