| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,974 |
2,720 |
$146K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
433 |
423 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
399 |
397 |
$30K |
| T1015 |
Clinic visit/encounter, all-inclusive |
349 |
293 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
298 |
295 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
227 |
222 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
98 |
98 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
197 |
98 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
140 |
140 |
$2K |
| 81002 |
|
12 |
12 |
$35.64 |
| 90658 |
|
46 |
46 |
$0.00 |
| 90670 |
|
162 |
162 |
$0.00 |
| 90715 |
|
22 |
22 |
$0.00 |
| 90649 |
|
15 |
15 |
$0.00 |
| 90698 |
|
162 |
162 |
$0.00 |