| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
390 |
357 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
127 |
127 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
46 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
89 |
87 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
27 |
$376.50 |