| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,619 |
1,469 |
$78K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
622 |
614 |
$55K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
320 |
319 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
165 |
160 |
$12K |
| 90723 |
|
290 |
289 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
42 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
181 |
114 |
$4K |
| 90670 |
|
469 |
465 |
$3K |
| 90647 |
|
415 |
412 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
31 |
$3K |
| 90686 |
|
293 |
286 |
$2K |
| 90680 |
|
271 |
270 |
$2K |
| 90633 |
|
46 |
46 |
$317.75 |
| 87807 |
|
14 |
14 |
$270.20 |
| 90651 |
|
15 |
15 |
$103.12 |
| 90734 |
|
14 |
12 |
$85.72 |