| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,098 |
1,030 |
$50K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
133 |
130 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
30 |
29 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
27 |
$933.63 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
29 |
$545.01 |
| 90723 |
|
12 |
12 |
$321.00 |
| 90686 |
|
46 |
46 |
$246.10 |
| 90670 |
|
15 |
15 |
$80.25 |
| 90685 |
|
12 |
12 |
$64.91 |