| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
355 |
282 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
408 |
304 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
63 |
53 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
132 |
124 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
56 |
27 |
$644.26 |
| 81002 |
|
62 |
55 |
$123.25 |