| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,107 |
3,892 |
$199K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
700 |
653 |
$51K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
15 |
15 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
13 |
$1K |
| 90686 |
|
63 |
63 |
$985.91 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
40 |
38 |
$595.80 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$563.93 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
22 |
21 |
$330.60 |
| 96127 |
|
13 |
13 |
$169.11 |