| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,218 |
1,088 |
$92K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
474 |
454 |
$7K |
| 92587 |
|
100 |
99 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37 |
37 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
17 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$1K |
| 90686 |
|
151 |
151 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
56 |
$765.02 |
| 81002 |
|
158 |
154 |
$466.65 |
| 90685 |
|
12 |
12 |
$93.00 |