| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,444 |
1,314 |
$71K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
298 |
288 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
289 |
138 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
54 |
54 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
39 |
39 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
20 |
20 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
17 |
$2K |
| 90686 |
|
156 |
156 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$920.73 |
| 90698 |
|
26 |
26 |
$896.39 |
| 81002 |
|
211 |
202 |
$681.98 |
| 90670 |
|
37 |
37 |
$253.16 |
| 87807 |
|
13 |
12 |
$204.78 |