| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,001 |
941 |
$58K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
259 |
247 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
200 |
200 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
145 |
139 |
$13K |
| 90700 |
|
310 |
309 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
18 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$2K |
| 90713 |
|
163 |
162 |
$818.65 |
| 90648 |
|
148 |
147 |
$747.27 |
| 90670 |
|
144 |
143 |
$726.95 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
32 |
$515.96 |
| 90686 |
|
67 |
67 |
$341.99 |
| 90685 |
|
65 |
65 |
$334.07 |
| 90680 |
|
51 |
51 |
$261.01 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$227.79 |
| 90744 |
|
13 |
13 |
$67.09 |