| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
72 |
66 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
56 |
34 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20 |
19 |
$615.42 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
32 |
$506.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
15 |
$204.10 |