| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,130 |
1,107 |
$107K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
755 |
743 |
$105K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
295 |
180 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
386 |
383 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$2K |
| 87807 |
|
33 |
32 |
$1K |
| 87276 |
|
35 |
35 |
$1K |
| 87275 |
|
35 |
35 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
18 |
$568.50 |