| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,481 |
1,365 |
$78K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
281 |
281 |
$22K |
| 99050 |
|
1,801 |
1,669 |
$21K |
| 87430 |
|
541 |
533 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
61 |
61 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
257 |
130 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$2K |
| 99051 |
|
158 |
157 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
16 |
$154.35 |
| 81003 |
|
12 |
12 |
$33.87 |
| 94761 |
|
14 |
14 |
$10.29 |