| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,154 |
1,678 |
$111K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
47 |
44 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
260 |
124 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
31 |
30 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
144 |
126 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
32 |
26 |
$811.16 |
| 90688 |
|
13 |
13 |
$257.27 |