| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
456 |
435 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
311 |
296 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
122 |
117 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
77 |
77 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
64 |
59 |
$5K |
| 92551 |
|
215 |
203 |
$2K |
| 90670 |
|
38 |
38 |
$896.45 |
| 99173 |
|
232 |
220 |
$519.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
21 |
12 |
$349.00 |
| 90686 |
|
37 |
28 |
$338.93 |
| 90698 |
|
12 |
12 |
$219.35 |
| 90685 |
|
15 |
13 |
$147.40 |
| 96127 |
|
12 |
12 |
$66.36 |
| 96161 |
|
13 |
13 |
$39.00 |
| 3008F |
|
90 |
76 |
$0.00 |