| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,209 |
1,665 |
$96K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
823 |
675 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
472 |
381 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
113 |
81 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
213 |
205 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
36 |
32 |
$3K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
79 |
79 |
$2K |
| 81002 |
|
457 |
402 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 90686 |
|
42 |
31 |
$493.74 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
35 |
33 |
$406.90 |
| 87807 |
|
20 |
19 |
$201.20 |
| 99173 |
|
13 |
13 |
$96.85 |
| 3074F |
|
59 |
56 |
$0.00 |
| 97802 |
|
28 |
26 |
$0.00 |
| 1159F |
|
239 |
129 |
$0.00 |
| 3078F |
|
36 |
34 |
$0.00 |
| 1160F |
|
295 |
181 |
$0.00 |