| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,485 |
1,384 |
$139K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
104 |
104 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
62 |
59 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$715.50 |
| 85018 |
|
12 |
12 |
$226.80 |
| 85014 |
|
12 |
12 |
$216.00 |