| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
690 |
613 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
77 |
74 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
69 |
67 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
167 |
159 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
92 |
45 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
12 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$988.91 |
| 90686 |
|
54 |
53 |
$625.65 |
| 83655 |
|
28 |
28 |
$396.09 |
| 99173 |
|
40 |
36 |
$85.47 |
| 85018 |
|
30 |
30 |
$83.52 |