| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
74 |
73 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
60 |
60 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48 |
48 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20 |
16 |
$341.88 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
18 |
$170.94 |
| 81003 |
|
12 |
12 |
$17.40 |