| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,132 |
1,082 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
644 |
618 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
538 |
527 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
482 |
470 |
$30K |
| 92551 |
|
976 |
963 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
371 |
364 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
116 |
116 |
$7K |
| 99188 |
|
339 |
327 |
$5K |
| 90686 |
|
446 |
439 |
$2K |
| 99051 |
|
192 |
191 |
$2K |
| 90698 |
|
68 |
68 |
$2K |
| 90670 |
|
232 |
221 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
46 |
29 |
$634.34 |
| 83655 |
|
47 |
47 |
$552.50 |
| 99173 |
|
62 |
62 |
$450.23 |
| 90707 |
|
27 |
27 |
$421.15 |
| 90680 |
|
54 |
54 |
$282.48 |
| 90685 |
|
42 |
40 |
$210.10 |
| 90700 |
|
13 |
13 |
$202.67 |
| 99050 |
|
34 |
33 |
$177.29 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$171.86 |
| 90716 |
|
28 |
28 |
$145.60 |
| 85018 |
|
33 |
32 |
$77.22 |
| 90734 |
|
13 |
13 |
$69.55 |
| 90713 |
|
13 |
13 |
$67.60 |
| 90633 |
|
12 |
12 |
$62.40 |
| 90651 |
|
12 |
12 |
$62.40 |