| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
321 |
300 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
304 |
277 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
43 |
43 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
270 |
133 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
232 |
217 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
88 |
87 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$711.87 |
| 87807 |
|
15 |
15 |
$137.22 |
| 90670 |
|
14 |
14 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |