| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,240 |
1,040 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
173 |
168 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
91 |
89 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
71 |
39 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$778.62 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
38 |
31 |
$588.80 |
| 90686 |
|
22 |
19 |
$140.46 |