| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
838 |
773 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64 |
57 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
212 |
101 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
47 |
46 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
133 |
128 |
$2K |
| 81002 |
|
12 |
12 |
$33.91 |