| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
395 |
371 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
286 |
282 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
198 |
98 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
29 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
72 |
70 |
$1K |
| 87070 |
|
40 |
38 |
$333.64 |
| 92551 |
|
24 |
24 |
$257.16 |
| 90686 |
|
19 |
19 |
$219.45 |
| 99050 |
|
12 |
12 |
$154.08 |
| 99173 |
|
12 |
12 |
$28.49 |