| 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 |
1,052 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
613 |
567 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
386 |
354 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
96 |
93 |
$6K |
| 90723 |
|
99 |
98 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
90 |
85 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
104 |
100 |
$1K |
| 99460 |
|
15 |
14 |
$984.47 |
| 90670 |
|
182 |
179 |
$948.90 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$911.72 |
| 90686 |
|
128 |
128 |
$664.75 |
| 90648 |
|
105 |
104 |
$555.06 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$255.30 |
| 90680 |
|
39 |
39 |
$207.95 |
| 99173 |
|
15 |
15 |
$112.50 |
| 90647 |
|
13 |
13 |
$67.60 |