| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
901 |
833 |
$49K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
86 |
85 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
64 |
64 |
$5K |
| 99050 |
|
166 |
163 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
26 |
$2K |
| 90670 |
|
84 |
83 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
38 |
37 |
$524.88 |
| 90680 |
|
22 |
22 |
$347.90 |
| 90698 |
|
19 |
19 |
$294.05 |
| 90744 |
|
17 |
17 |
$203.35 |
| 90633 |
|
13 |
13 |
$179.78 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$169.77 |