| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0003A |
|
1,491 |
1,315 |
$58K |
| 0002A |
|
755 |
746 |
$32K |
| 0001A |
|
633 |
629 |
$26K |
| 0071A |
|
609 |
587 |
$25K |
| 0072A |
|
568 |
560 |
$24K |
| 0124A |
|
441 |
389 |
$17K |
| 0004A |
|
439 |
363 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
179 |
135 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
74 |
69 |
$5K |
| 0053A |
|
108 |
93 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
208 |
153 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
38 |
36 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
26 |
$2K |
| 0081A |
|
48 |
47 |
$2K |
| 0082A |
|
47 |
45 |
$2K |
| 0154A |
|
41 |
31 |
$2K |
| 90686 |
|
88 |
74 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
71 |
26 |
$1K |
| 0054A |
|
28 |
28 |
$1K |
| 0034A |
|
14 |
14 |
$594.18 |
| 0074A |
|
14 |
14 |
$587.29 |