| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,773 |
1,614 |
$102K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
798 |
738 |
$83K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
577 |
572 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
187 |
186 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
177 |
172 |
$16K |
| 90700 |
|
709 |
700 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
52 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
283 |
275 |
$5K |
| 90648 |
|
574 |
566 |
$3K |
| 90670 |
|
573 |
565 |
$3K |
| 90713 |
|
554 |
549 |
$3K |
| 90686 |
|
363 |
361 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
97 |
96 |
$2K |
| 90680 |
|
291 |
287 |
$1K |
| 90707 |
|
94 |
92 |
$1K |
| 90744 |
|
197 |
195 |
$984.49 |
| 90633 |
|
140 |
140 |
$715.29 |
| 90685 |
|
96 |
95 |
$484.06 |
| 90716 |
|
91 |
89 |
$452.30 |
| 90651 |
|
28 |
28 |
$142.90 |
| 81002 |
|
17 |
12 |
$25.07 |