| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,680 |
2,364 |
$113K |
| 87428 |
|
226 |
226 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
456 |
416 |
$7K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
37 |
37 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
17 |
17 |
$736.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
42 |
$629.75 |