| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,438 |
1,414 |
$202K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
251 |
247 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
239 |
234 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
149 |
98 |
$7K |
| 87275 |
|
62 |
62 |
$2K |
| 87276 |
|
62 |
62 |
$2K |
| 87807 |
|
15 |
15 |
$607.50 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$270.00 |