| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
288 |
232 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
469 |
362 |
$13K |
| 99215 |
Prolong outpt/office vis |
90 |
68 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
25 |
$559.18 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
12 |
$232.70 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19 |
17 |
$192.57 |