| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,437 |
1,245 |
$66K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
175 |
88 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
25 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
75 |
72 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
12 |
$1K |
| 90686 |
|
81 |
81 |
$548.71 |
| 90670 |
|
12 |
12 |
$87.18 |
| 90651 |
|
13 |
12 |
$81.91 |