| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
635 |
603 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
296 |
285 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
164 |
154 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
97 |
96 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
47 |
$4K |
| 92551 |
|
304 |
286 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
35 |
33 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
71 |
65 |
$928.08 |
| 99173 |
|
316 |
299 |
$739.52 |
| 90686 |
|
72 |
61 |
$726.30 |
| 90670 |
|
16 |
16 |
$649.50 |
| 96127 |
|
98 |
84 |
$429.60 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
14 |
$348.60 |
| 90680 |
|
12 |
12 |
$235.30 |
| 90698 |
|
12 |
12 |
$218.80 |
| 90685 |
|
19 |
17 |
$204.56 |
| 96161 |
|
15 |
13 |
$42.00 |
| 99051 |
|
14 |
14 |
$0.00 |
| 3008F |
|
96 |
78 |
$0.00 |