| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
726 |
671 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
364 |
349 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
195 |
186 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
132 |
126 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
89 |
89 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
47 |
39 |
$3K |
| 92551 |
|
300 |
282 |
$3K |
| 99173 |
|
314 |
295 |
$711.06 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
45 |
44 |
$625.65 |
| 90686 |
|
57 |
44 |
$516.12 |
| 90670 |
|
30 |
30 |
$496.45 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$376.52 |
| 96127 |
|
80 |
66 |
$354.24 |
| 90698 |
|
13 |
13 |
$230.90 |
| 90700 |
|
17 |
17 |
$226.13 |
| 90685 |
|
22 |
17 |
$194.70 |
| 90633 |
|
14 |
13 |
$192.66 |
| 90680 |
|
12 |
12 |
$136.40 |
| 90707 |
|
12 |
12 |
$135.85 |
| 99177 |
|
59 |
53 |
$128.79 |
| 96161 |
|
28 |
28 |
$81.00 |
| 3008F |
|
119 |
100 |
$0.00 |