| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
297 |
281 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
189 |
165 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
227 |
110 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
113 |
110 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
16 |
$1K |
| 87070 |
|
95 |
92 |
$772.74 |
| 92551 |
|
37 |
37 |
$387.00 |
| 90686 |
|
29 |
29 |
$352.68 |
| 99050 |
|
27 |
27 |
$333.84 |
| 87420 |
|
12 |
12 |
$174.60 |
| 99173 |
|
15 |
15 |
$38.85 |