| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,035 |
966 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
287 |
280 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
150 |
148 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
142 |
141 |
$12K |
| 90686 |
|
264 |
252 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
183 |
181 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32 |
31 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
51 |
$2K |
| 90670 |
|
114 |
112 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
29 |
$1K |
| 90723 |
|
39 |
38 |
$863.51 |
| 90685 |
|
73 |
71 |
$819.79 |
| 90647 |
|
42 |
42 |
$610.91 |
| 83655 |
|
28 |
28 |
$394.00 |
| 90633 |
|
24 |
24 |
$325.21 |
| 85018 |
|
12 |
12 |
$37.44 |