| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,159 |
1,005 |
$98K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
798 |
700 |
$49K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
218 |
176 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
314 |
145 |
$2K |
| 87430 |
|
128 |
93 |
$520.94 |
| 71046 |
Radiologic examination, chest; 2 views |
30 |
29 |
$505.85 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
57 |
55 |
$403.80 |
| 87807 |
|
22 |
20 |
$177.48 |
| 87501 |
|
195 |
144 |
$154.41 |
| 87420 |
|
45 |
40 |
$86.94 |
| 94760 |
|
43 |
32 |
$0.00 |