| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,202 |
1,924 |
$77K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,295 |
1,135 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
378 |
330 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
115 |
102 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
183 |
158 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
64 |
58 |
$2K |
| 87428 |
|
15 |
13 |
$394.23 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
202 |
157 |
$158.86 |
| 1125F |
|
274 |
239 |
$110.00 |
| 1159F |
|
1,557 |
1,270 |
$110.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
56 |
51 |
$19.88 |
| 1126F |
|
112 |
102 |
$0.00 |
| 3008F |
|
924 |
707 |
$0.00 |
| 3074F |
|
410 |
332 |
$0.00 |
| 1036F |
|
285 |
193 |
$0.00 |
| 1111F |
|
27 |
12 |
$0.00 |
| 1160F |
|
1,680 |
1,385 |
$0.00 |
| 3078F |
|
312 |
248 |
$0.00 |