| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
144 |
136 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
188 |
163 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
32 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
19 |
$580.62 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
28 |
$407.40 |
| 90686 |
|
28 |
28 |
$338.04 |
| 92551 |
|
30 |
28 |
$301.00 |
| 81002 |
|
82 |
80 |
$246.36 |
| 87081 |
|
27 |
26 |
$209.04 |
| 85018 |
|
42 |
39 |
$112.32 |
| 36416 |
|
72 |
66 |
$0.00 |