| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,192 |
886 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
188 |
128 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
96 |
63 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
166 |
114 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
126 |
44 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
42 |
29 |
$441.46 |
| 81025 |
|
134 |
83 |
$380.32 |
| 1160F |
|
288 |
255 |
$300.00 |
| 92551 |
|
43 |
28 |
$197.28 |
| 81003 |
|
182 |
116 |
$164.94 |
| 80305 |
|
33 |
20 |
$160.60 |
| 3008F |
|
203 |
180 |
$140.00 |
| 3078F |
|
209 |
187 |
$140.00 |
| 99173 |
|
51 |
32 |
$138.77 |
| 3074F |
|
195 |
170 |
$120.00 |
| 1159F |
|
70 |
64 |
$100.00 |
| 81002 |
|
13 |
12 |
$26.24 |