| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
711 |
676 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
212 |
201 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
218 |
206 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
70 |
67 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
15 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$1K |
| 87081 |
|
143 |
135 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
56 |
26 |
$726.12 |
| 90686 |
|
45 |
44 |
$528.51 |
| 90670 |
|
15 |
15 |
$328.15 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$261.90 |
| 90698 |
|
15 |
15 |
$255.10 |
| 92551 |
|
16 |
16 |
$171.93 |
| 99173 |
|
14 |
14 |
$36.26 |