| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,419 |
1,291 |
$70K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
394 |
374 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
281 |
275 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
336 |
330 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
87 |
87 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
184 |
116 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
29 |
$3K |
| 90723 |
|
75 |
75 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
135 |
130 |
$2K |
| 90686 |
|
334 |
329 |
$2K |
| 90670 |
|
234 |
231 |
$2K |
| 99460 |
|
20 |
20 |
$2K |
| 90647 |
|
229 |
226 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
17 |
17 |
$935.93 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13 |
13 |
$672.07 |
| 87807 |
|
18 |
18 |
$363.62 |
| 90680 |
|
37 |
37 |
$262.15 |
| 83655 |
|
16 |
16 |
$256.44 |
| 90633 |
|
12 |
12 |
$81.58 |
| 85018 |
|
15 |
15 |
$47.05 |