| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
576 |
551 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
157 |
157 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
138 |
136 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
81 |
81 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
75 |
73 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
268 |
132 |
$4K |
| 92551 |
|
196 |
196 |
$2K |
| 99188 |
|
79 |
79 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
94 |
91 |
$1K |
| 90686 |
|
72 |
72 |
$970.68 |
| 90670 |
|
53 |
53 |
$916.17 |
| 90633 |
|
40 |
40 |
$515.85 |
| 87070 |
|
59 |
57 |
$482.48 |
| 90680 |
|
27 |
27 |
$405.30 |
| 90698 |
|
28 |
28 |
$401.85 |
| 99173 |
|
127 |
127 |
$326.34 |
| 99050 |
|
22 |
20 |
$282.48 |
| 90685 |
|
12 |
12 |
$155.04 |
| 94760 |
|
16 |
14 |
$0.00 |