| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
545 |
508 |
$43K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
301 |
294 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
64 |
40 |
$854.70 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
12 |
12 |
$385.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
14 |
$173.32 |
| 81003 |
|
13 |
13 |
$0.00 |