| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
306 |
292 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
116 |
116 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
109 |
109 |
$8K |
| 90670 |
|
100 |
100 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
90 |
44 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$975.96 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
68 |
65 |
$974.85 |
| 90698 |
|
47 |
47 |
$848.35 |
| 90680 |
|
40 |
40 |
$823.81 |
| 90688 |
|
25 |
25 |
$288.32 |
| 90744 |
|
14 |
14 |
$166.52 |
| 99177 |
|
16 |
16 |
$0.00 |