| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
982 |
912 |
$55K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
524 |
514 |
$55K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
436 |
433 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
130 |
127 |
$14K |
| 90698 |
|
303 |
294 |
$5K |
| 92551 |
|
363 |
358 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
30 |
30 |
$3K |
| 90670 |
|
451 |
440 |
$2K |
| 90686 |
|
277 |
277 |
$1K |
| 99188 |
|
81 |
81 |
$1K |
| 90680 |
|
201 |
201 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$417.86 |
| 90744 |
|
77 |
77 |
$394.12 |
| 90685 |
|
59 |
58 |
$289.08 |
| 99173 |
|
39 |
39 |
$109.06 |
| 90633 |
|
12 |
12 |
$55.50 |