| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
475 |
463 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
166 |
89 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$954.63 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$772.02 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
87 |
86 |
$599.90 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$333.44 |
| 87807 |
|
14 |
14 |
$173.74 |