| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,598 |
2,464 |
$126K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
581 |
574 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
54 |
53 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
54 |
54 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
163 |
99 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
37 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
37 |
36 |
$3K |
| 90686 |
|
126 |
126 |
$841.64 |
| 90723 |
|
28 |
27 |
$581.31 |
| 90670 |
|
52 |
52 |
$345.44 |
| 90647 |
|
26 |
25 |
$162.21 |
| 90651 |
|
17 |
16 |
$105.88 |