| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
205 |
142 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
173 |
53 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
14 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21 |
12 |
$666.26 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
38 |
27 |
$596.60 |
| 81002 |
|
19 |
16 |
$49.40 |
| 81025 |
|
16 |
14 |
$41.28 |