| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,962 |
4,274 |
$162K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
615 |
576 |
$40K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
394 |
373 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
382 |
368 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
314 |
301 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
297 |
279 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
422 |
389 |
$9K |
| 90670 |
|
318 |
315 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
251 |
238 |
$3K |
| 90633 |
|
252 |
240 |
$2K |
| 90688 |
|
235 |
230 |
$2K |
| 90648 |
|
163 |
160 |
$2K |
| 90651 |
|
149 |
145 |
$1K |
| 85027 |
|
161 |
143 |
$1K |
| 90734 |
|
139 |
134 |
$1K |
| 90686 |
|
122 |
114 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
29 |
25 |
$878.25 |
| 71020 |
|
21 |
17 |
$635.80 |
| 90723 |
|
60 |
58 |
$544.92 |
| 90710 |
|
18 |
17 |
$152.96 |
| 90621 |
|
13 |
13 |
$124.28 |
| 90685 |
|
14 |
12 |
$114.72 |
| 87081 |
|
12 |
12 |
$113.64 |