| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
345 |
334 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
261 |
238 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
131 |
124 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
87 |
87 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
252 |
231 |
$4K |
| 99215 |
Prolong outpt/office vis |
28 |
27 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
83 |
79 |
$1K |
| 96160 |
|
12 |
12 |
$189.80 |