| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,006 |
984 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
500 |
492 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
278 |
270 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
200 |
200 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
176 |
176 |
$12K |
| 92551 |
|
326 |
324 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
97 |
97 |
$7K |
| 99058 |
|
444 |
427 |
$5K |
| 90700 |
|
175 |
175 |
$3K |
| 90686 |
|
349 |
346 |
$2K |
| 83655 |
|
156 |
156 |
$2K |
| 85013 |
|
161 |
161 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
62 |
31 |
$932.19 |
| 90670 |
|
164 |
163 |
$931.13 |
| 90648 |
|
113 |
113 |
$671.22 |
| 90713 |
|
109 |
109 |
$646.87 |
| 90707 |
|
29 |
29 |
$516.78 |
| 90651 |
|
91 |
88 |
$511.43 |
| 90698 |
|
13 |
12 |
$312.13 |
| 90680 |
|
30 |
30 |
$178.20 |
| 90633 |
|
31 |
31 |
$175.26 |
| 90716 |
|
29 |
29 |
$172.26 |
| 90744 |
|
26 |
26 |
$153.26 |
| 0072A |
|
17 |
17 |
$0.00 |
| 0081A |
|
13 |
13 |
$0.00 |
| 0071A |
|
15 |
15 |
$0.00 |