| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,196 |
3,647 |
$217K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
89 |
78 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
43 |
39 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
24 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
15 |
$980.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
44 |
41 |
$839.28 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$159.00 |
| 3078F |
|
19 |
18 |
$0.00 |
| 81000 |
|
211 |
114 |
$0.00 |
| 3074F |
|
52 |
44 |
$0.00 |