| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,313 |
1,240 |
$69K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
285 |
270 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
166 |
162 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
80 |
80 |
$7K |
| 90698 |
|
116 |
114 |
$3K |
| 90686 |
|
347 |
341 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
56 |
41 |
$2K |
| 90670 |
|
114 |
112 |
$830.89 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34 |
33 |
$672.18 |
| 90680 |
|
42 |
41 |
$304.12 |
| 90685 |
|
12 |
12 |
$80.08 |