| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,505 |
1,400 |
$73K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
753 |
733 |
$68K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
468 |
465 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
245 |
240 |
$18K |
| 90723 |
|
379 |
375 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
74 |
74 |
$7K |
| 90670 |
|
561 |
556 |
$4K |
| 90647 |
|
526 |
522 |
$4K |
| 90680 |
|
313 |
309 |
$2K |
| 90686 |
|
279 |
275 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
65 |
45 |
$2K |
| 90685 |
|
148 |
148 |
$998.45 |
| 90633 |
|
77 |
76 |
$516.38 |
| 87807 |
|
12 |
12 |
$243.75 |
| 90651 |
|
12 |
12 |
$86.14 |