| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,006 |
883 |
$106K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,139 |
784 |
$57K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
373 |
339 |
$30K |
| 99215 |
Prolong outpt/office vis |
31 |
31 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
54 |
54 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
351 |
285 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
293 |
235 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
31 |
27 |
$532.20 |
| 81003 |
|
240 |
191 |
$308.00 |
| 81025 |
|
13 |
12 |
$47.88 |