| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,560 |
1,446 |
$76K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
83 |
78 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
412 |
402 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
65 |
60 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
193 |
113 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
18 |
$2K |
| 90686 |
|
117 |
105 |
$733.71 |
| 90670 |
|
12 |
12 |
$84.30 |