| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
502 |
462 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
328 |
315 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
32 |
30 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
62 |
39 |
$902.10 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$559.32 |
| 99173 |
|
83 |
83 |
$214.97 |
| 90686 |
|
15 |
15 |
$165.00 |
| 90651 |
|
14 |
14 |
$154.00 |
| 36416 |
|
86 |
86 |
$94.60 |