| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,011 |
1,688 |
$60K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
144 |
135 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
133 |
121 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$452.71 |