| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,696 |
3,116 |
$320K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,484 |
1,081 |
$72K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
632 |
484 |
$18K |
| 98940 |
|
127 |
83 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
138 |
117 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
40 |
$660.79 |
| 90686 |
|
12 |
12 |
$227.12 |
| 81003 |
|
30 |
29 |
$47.25 |