| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,457 |
1,503 |
$181K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,659 |
1,092 |
$129K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
116 |
64 |
$35.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
181 |
179 |
$27.96 |
| 81003 |
|
192 |
185 |
$13.72 |