| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
781 |
591 |
$47K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
327 |
125 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
100 |
94 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
22 |
15 |
$955.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
15 |
$630.76 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$129.98 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
109 |
96 |
$112.26 |
| 81002 |
|
13 |
12 |
$27.69 |