| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,736 |
1,697 |
$243K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
485 |
472 |
$46K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
442 |
261 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
493 |
484 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
61 |
58 |
$9K |
| 87807 |
|
93 |
93 |
$4K |
| 87275 |
|
71 |
71 |
$3K |
| 87276 |
|
71 |
71 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
19 |
$427.50 |