| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,762 |
2,548 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
249 |
233 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
356 |
300 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
380 |
346 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
91 |
87 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
82 |
79 |
$514.42 |
| J3490 |
Unclassified drugs |
20 |
13 |
$259.80 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$189.94 |
| 81002 |
|
14 |
12 |
$33.80 |