| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
86 |
81 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
92 |
86 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$979.32 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
44 |
25 |
$567.45 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
87 |
82 |
$317.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
21 |
21 |
$276.45 |