| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,199 |
1,999 |
$67K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
992 |
935 |
$57K |
| 87428 |
|
153 |
149 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
133 |
126 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
29 |
24 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
27 |
27 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
82 |
38 |
$958.65 |
| 90686 |
|
72 |
67 |
$628.44 |
| 87807 |
|
13 |
13 |
$156.12 |