| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
435 |
419 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
140 |
137 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44 |
43 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
73 |
70 |
$894.31 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
30 |
$337.80 |
| 81003 |
|
40 |
38 |
$96.50 |