| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
409 |
316 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
75 |
62 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
125 |
85 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50 |
43 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
12 |
$219.80 |
| 81025 |
|
32 |
27 |
$77.40 |
| 81002 |
|
30 |
28 |
$67.77 |