| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
284 |
268 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
16 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
64 |
64 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
89 |
77 |
$1K |
| 97802 |
|
33 |
33 |
$797.64 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$559.13 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
56 |
55 |
$370.15 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$309.84 |
| 81003 |
|
24 |
24 |
$49.02 |
| 94760 |
|
83 |
73 |
$4.62 |