| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
652 |
531 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
171 |
140 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
42 |
42 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
32 |
32 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
21 |
13 |
$151.37 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
20 |
14 |
$126.19 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
17 |
14 |
$114.15 |