| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
891 |
753 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
132 |
122 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
209 |
101 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17 |
15 |
$789.74 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
12 |
$676.92 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
44 |
37 |
$284.22 |
| 87807 |
|
16 |
16 |
$195.15 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
16 |
$193.05 |