| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,158 |
1,064 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
383 |
366 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
318 |
309 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
72 |
71 |
$6K |
| 90698 |
|
119 |
119 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
195 |
106 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
149 |
146 |
$2K |
| 90670 |
|
114 |
114 |
$800.89 |
| 90686 |
|
81 |
81 |
$550.64 |
| 90680 |
|
73 |
73 |
$512.46 |