| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
198 |
178 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
119 |
118 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$708.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
48 |
45 |
$654.75 |
| 90670 |
|
29 |
29 |
$653.34 |
| 90700 |
|
43 |
42 |
$543.82 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
16 |
$494.70 |
| 90680 |
|
25 |
25 |
$382.04 |
| 90713 |
|
15 |
15 |
$221.55 |
| 92551 |
|
18 |
18 |
$192.66 |
| 90648 |
|
13 |
13 |
$158.48 |
| 99173 |
|
21 |
21 |
$51.80 |
| 99000 |
|
147 |
140 |
$0.00 |