| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
783 |
759 |
$78K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
370 |
370 |
$38K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
189 |
189 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
79 |
47 |
$947.94 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
44 |
44 |
$659.50 |
| 81025 |
|
55 |
55 |
$236.85 |
| 81003 |
|
127 |
124 |
$186.35 |