| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
321 |
234 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
346 |
310 |
$22K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
120 |
89 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
207 |
99 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
15 |
$167.98 |
| 94760 |
|
130 |
116 |
$23.62 |