| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
373 |
343 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
101 |
94 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
171 |
162 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
124 |
60 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| 92551 |
|
65 |
64 |
$685.97 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$460.93 |
| 81003 |
|
157 |
145 |
$425.62 |
| 85018 |
|
87 |
86 |
$244.80 |
| 90686 |
|
18 |
17 |
$198.17 |
| 99173 |
|
12 |
12 |
$31.08 |