| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57 |
40 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34 |
31 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
31 |
26 |
$875.34 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
24 |
17 |
$717.34 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
12 |
$296.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
12 |
$143.56 |