| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
268 |
263 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
164 |
162 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
372 |
300 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
261 |
257 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37 |
37 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
93 |
93 |
$2K |
| 87807 |
|
82 |
80 |
$2K |
| 87081 |
|
125 |
123 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
62 |
61 |
$1K |
| 81001 |
|
12 |
12 |
$52.68 |