| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
806 |
741 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
109 |
102 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
63 |
63 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
50 |
49 |
$4K |
| 92551 |
|
34 |
34 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29 |
15 |
$511.62 |
| 90698 |
|
13 |
13 |
$401.37 |
| 90686 |
|
59 |
59 |
$383.45 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$203.32 |
| 90670 |
|
12 |
12 |
$75.14 |