| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
192 |
187 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
260 |
251 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
43 |
42 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
188 |
188 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
57 |
57 |
$2K |
| 90670 |
|
12 |
12 |
$445.10 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
23 |
15 |
$334.65 |
| 90633 |
|
25 |
25 |
$328.52 |
| 90707 |
|
13 |
12 |
$269.18 |
| 90686 |
|
21 |
21 |
$246.74 |
| 99173 |
|
28 |
28 |
$67.34 |
| 36416 |
|
59 |
59 |
$64.90 |