| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
870 |
831 |
$86K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
323 |
316 |
$31K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
251 |
247 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
154 |
148 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$266.64 |
| 81003 |
|
82 |
76 |
$193.98 |
| 90686 |
|
13 |
13 |
$151.50 |