| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
597 |
567 |
$86K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
156 |
152 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
31 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
93 |
91 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
103 |
102 |
$3K |