| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40 |
39 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
126 |
60 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22 |
22 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
53 |
$726.12 |