| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
451 |
399 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
252 |
101 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
100 |
70 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$963.12 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
40 |
34 |
$378.66 |