| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
234 |
209 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
24 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
93 |
63 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
15 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
13 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
36 |
$509.25 |
| 92551 |
|
27 |
24 |
$257.16 |
| 90461 |
|
53 |
49 |
$188.61 |
| 90700 |
|
15 |
14 |
$172.02 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
73 |
64 |
$110.30 |
| 81002 |
|
21 |
20 |
$62.20 |
| 99173 |
|
20 |
19 |
$49.21 |