| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,600 |
5,196 |
$191K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,925 |
1,801 |
$129K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,001 |
1,913 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,016 |
960 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
41 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
20 |
17 |
$958.97 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
18 |
$958.97 |
| 90686 |
|
13 |
12 |
$186.78 |
| 90674 |
|
19 |
13 |
$177.80 |
| 87807 |
|
12 |
12 |
$156.12 |
| 1000F |
|
2,336 |
2,147 |
$0.00 |
| 3008F |
|
5,299 |
4,739 |
$0.00 |
| 1036F |
|
2,041 |
1,871 |
$0.00 |
| 1220F |
|
605 |
577 |
$0.00 |
| 1160F |
|
6,231 |
5,665 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
114 |
110 |
$0.00 |