| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,563 |
4,901 |
$184K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,350 |
1,244 |
$86K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
960 |
926 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
554 |
535 |
$29K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
726 |
508 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
318 |
300 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
784 |
658 |
$8K |
| 90670 |
|
726 |
715 |
$7K |
| 90698 |
|
657 |
644 |
$6K |
| 90680 |
|
528 |
522 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
82 |
81 |
$4K |
| 87081 |
|
560 |
465 |
$4K |
| 90744 |
|
373 |
365 |
$3K |
| 99381 |
|
61 |
51 |
$3K |
| 90633 |
|
282 |
274 |
$3K |
| 90686 |
|
264 |
253 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
48 |
41 |
$2K |
| 99460 |
|
15 |
12 |
$1K |
| 90716 |
|
141 |
136 |
$1K |
| 90707 |
|
121 |
116 |
$1K |
| 90685 |
|
114 |
111 |
$1K |
| 90648 |
|
70 |
70 |
$650.08 |
| 90651 |
|
41 |
40 |
$382.40 |
| 90688 |
|
39 |
37 |
$353.72 |
| 90700 |
|
26 |
26 |
$239.00 |
| 90723 |
|
20 |
20 |
$191.20 |
| 90734 |
|
13 |
12 |
$114.72 |