| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
146 |
110 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
12 |
$359.66 |
| S8301 |
Infection control supplies, not otherwise specified |
19 |
19 |
$176.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
89 |
57 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
70 |
28 |
$0.00 |