| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,021 |
1,811 |
$228K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
174 |
157 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
136 |
136 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
110 |
107 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
205 |
203 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
603 |
579 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
41 |
41 |
$7K |
| 83655 |
|
64 |
61 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
24 |
$4K |
| 85018 |
|
99 |
95 |
$2K |
| 99188 |
|
106 |
102 |
$2K |
| 81003 |
|
41 |
39 |
$815.40 |
| 86308 |
|
19 |
18 |
$734.40 |
| 87807 |
|
29 |
28 |
$475.20 |