| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,055 |
885 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
140 |
129 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$679.28 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
46 |
46 |
$579.15 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
50 |
24 |
$572.70 |
| 90658 |
|
34 |
34 |
$410.04 |
| 81003 |
|
12 |
12 |
$28.80 |
| G0008 |
Administration of influenza virus vaccine |
15 |
14 |
$0.00 |
| 90662 |
|
13 |
13 |
$0.00 |