| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
549 |
518 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43 |
42 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
35 |
35 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
56 |
28 |
$791.30 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
32 |
31 |
$453.15 |
| 90686 |
|
34 |
34 |
$411.91 |
| 99173 |
|
17 |
17 |
$44.42 |