| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,026 |
986 |
$85K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,428 |
1,302 |
$71K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
579 |
573 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
228 |
221 |
$18K |
| 99460 |
|
182 |
181 |
$15K |
| 90723 |
|
445 |
440 |
$9K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
145 |
144 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
82 |
79 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
246 |
170 |
$6K |
| 90670 |
|
545 |
539 |
$4K |
| 90648 |
|
519 |
513 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
95 |
95 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
17 |
$1K |
| 90686 |
|
202 |
202 |
$1K |
| 87807 |
|
95 |
87 |
$1K |
| 90681 |
|
175 |
173 |
$1K |
| 90633 |
|
79 |
78 |
$539.38 |
| 90672 |
|
48 |
48 |
$336.17 |