| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,616 |
1,281 |
$100K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,798 |
1,287 |
$70K |
| 99215 |
Prolong outpt/office vis |
283 |
206 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
45 |
25 |
$954.25 |
| 96127 |
|
48 |
36 |
$687.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
15 |
$426.52 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
23 |
12 |
$206.75 |