| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
379 |
369 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
101 |
99 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
39 |
37 |
$737.32 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$603.60 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
12 |
$264.96 |