| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,132 |
1,036 |
$101K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
278 |
244 |
$20K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
211 |
205 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
76 |
74 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
360 |
162 |
$706.82 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
307 |
279 |
$573.88 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$194.00 |
| 99422 |
|
14 |
13 |
$110.40 |