| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,929 |
1,640 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,087 |
968 |
$55K |
| 99222 |
Initial hospital care, per day, moderate complexity |
205 |
202 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
83 |
27 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
162 |
101 |
$1K |
| 99254 |
|
24 |
24 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
45 |
45 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34 |
24 |
$441.48 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$148.01 |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
14 |
$136.05 |