| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
849 |
807 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
188 |
176 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
136 |
118 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
312 |
138 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
156 |
131 |
$2K |
| J3490 |
Unclassified drugs |
16 |
13 |
$3.24 |
| 99051 |
|
295 |
263 |
$0.00 |