| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
682 |
607 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
514 |
425 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
399 |
323 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
45 |
$3K |
| 99421 |
|
105 |
93 |
$1K |
| 99422 |
|
12 |
12 |
$325.68 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
12 |
$172.15 |
| 81002 |
|
53 |
34 |
$137.80 |
| 99441 |
|
71 |
31 |
$49.03 |