| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
210 |
210 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
283 |
283 |
$15K |
| 99223 |
Prolong inpt eval add15 m |
13 |
13 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
24 |
16 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
25 |
25 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
16 |
16 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
44 |
44 |
$817.34 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20 |
17 |
$605.07 |