| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,883 |
2,663 |
$391K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
676 |
636 |
$114K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
519 |
514 |
$94K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
451 |
448 |
$82K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
326 |
323 |
$64K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
265 |
265 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
385 |
372 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
85 |
59 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$3K |
| 99384 |
|
13 |
13 |
$3K |
| 81003 |
|
54 |
54 |
$1K |