| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,801 |
1,523 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
69 |
55 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
96 |
90 |
$1K |
| 87430 |
|
134 |
113 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$744.37 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
12 |
$204.48 |
| 99000 |
|
127 |
78 |
$152.16 |
| 81002 |
|
17 |
15 |
$46.50 |