| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
823 |
772 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
847 |
728 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
389 |
347 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
201 |
187 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
977 |
891 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
125 |
112 |
$2K |
| 87807 |
|
73 |
69 |
$597.63 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
20 |
19 |
$219.07 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$93.22 |
| 99050 |
|
35 |
27 |
$45.00 |
| 99051 |
|
47 |
37 |
$0.00 |