| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
576 |
551 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
95 |
93 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
69 |
67 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
133 |
130 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
17 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$1K |
| 90686 |
|
58 |
58 |
$694.23 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
36 |
36 |
$490.97 |
| 90670 |
|
15 |
15 |
$172.15 |
| 83655 |
|
12 |
12 |
$169.04 |
| 90648 |
|
13 |
13 |
$149.05 |
| 90723 |
|
12 |
12 |
$137.50 |
| 85018 |
|
13 |
13 |
$35.90 |