| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
452 |
390 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
442 |
352 |
$5K |
| 89220 |
|
481 |
292 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
122 |
120 |
$2K |
| 99000 |
|
527 |
467 |
$2K |
| 87116 |
|
93 |
57 |
$848.16 |
| 86480 |
|
15 |
15 |
$825.60 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$686.40 |
| 87015 |
|
93 |
57 |
$540.33 |
| 87206 |
|
93 |
57 |
$445.47 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
13 |
13 |
$263.38 |
| 86580 |
|
30 |
29 |
$100.80 |