| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,355 |
1,326 |
$130K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
379 |
370 |
$53K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
272 |
179 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
282 |
282 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$1K |
| 87807 |
|
25 |
25 |
$1K |
| 87275 |
|
17 |
17 |
$612.00 |
| 87276 |
|
17 |
17 |
$612.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
17 |
$382.50 |