| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,682 |
2,187 |
$128K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
504 |
482 |
$37K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
404 |
361 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
137 |
130 |
$10K |
| 90686 |
|
591 |
546 |
$6K |
| 90670 |
|
432 |
384 |
$4K |
| 90685 |
|
223 |
204 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
27 |
$2K |
| 99173 |
|
724 |
671 |
$2K |
| 90723 |
|
188 |
169 |
$2K |
| 85018 |
|
648 |
594 |
$2K |
| 90648 |
|
135 |
118 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
99 |
89 |
$1K |
| 90633 |
|
109 |
102 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 86318 |
|
102 |
97 |
$778.10 |
| 90672 |
|
76 |
70 |
$746.64 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
26 |
$283.81 |
| 90681 |
|
15 |
13 |
$144.44 |
| 90688 |
|
13 |
13 |
$88.55 |
| 99241 |
|
16 |
14 |
$36.50 |