| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,242 |
1,051 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
98 |
94 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
19 |
15 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
119 |
115 |
$646.33 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$634.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
14 |
$148.90 |
| 90686 |
|
46 |
44 |
$102.55 |
| 96127 |
|
25 |
25 |
$60.40 |
| 92551 |
|
14 |
12 |
$9.10 |