| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,290 |
801 |
$28K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
239 |
27 |
$8K |
| T1015 |
Clinic visit/encounter, all-inclusive |
51 |
46 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
415 |
258 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
204 |
70 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
137 |
79 |
$72.97 |
| 81003 |
|
31 |
13 |
$32.70 |
| 80305 |
|
24 |
12 |
$0.00 |