| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
454 |
369 |
$30K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
283 |
282 |
$14K |
| 92587 |
|
33 |
33 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$965.05 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
64 |
21 |
$694.25 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$613.29 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
13 |
$308.24 |
| 99188 |
|
13 |
13 |
$233.22 |
| 90686 |
|
31 |
31 |
$214.68 |
| 81003 |
|
62 |
60 |
$154.85 |