| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
959 |
856 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
442 |
410 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
599 |
538 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
103 |
101 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
75 |
72 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
70 |
70 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
137 |
97 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$2K |
| 90686 |
|
243 |
240 |
$2K |
| 90698 |
|
12 |
12 |
$403.14 |
| 90670 |
|
43 |
43 |
$301.46 |
| 90685 |
|
12 |
12 |
$81.71 |