| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
492 |
456 |
$24K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
113 |
108 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
42 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
43 |
41 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
29 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
64 |
47 |
$2K |
| 99384 |
|
18 |
18 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
12 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 90698 |
|
16 |
16 |
$344.48 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
16 |
$269.72 |
| 90686 |
|
30 |
30 |
$214.71 |
| 90734 |
|
28 |
26 |
$191.77 |
| 90670 |
|
17 |
17 |
$116.30 |
| 90680 |
|
15 |
15 |
$102.50 |
| 90744 |
|
12 |
12 |
$82.28 |