| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
182 |
151 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
65 |
59 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
21 |
12 |
$971.28 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
59 |
22 |
$543.21 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
26 |
$352.32 |
| 90686 |
|
25 |
25 |
$325.35 |
| 81002 |
|
67 |
64 |
$195.93 |
| 87081 |
|
27 |
26 |
$194.68 |
| 92551 |
|
26 |
17 |
$182.75 |
| 85018 |
|
19 |
17 |
$48.96 |
| 36416 |
|
35 |
31 |
$1.07 |