| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
530 |
481 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
241 |
225 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
80 |
77 |
$6K |
| 90686 |
|
359 |
337 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
47 |
44 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
29 |
$2K |
| 90670 |
|
121 |
120 |
$2K |
| 92551 |
|
193 |
179 |
$2K |
| 90651 |
|
85 |
85 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
15 |
$1K |
| 90685 |
|
103 |
101 |
$1K |
| 90633 |
|
34 |
34 |
$540.33 |
| 99173 |
|
210 |
194 |
$477.92 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
13 |
$378.10 |
| 90715 |
|
13 |
13 |
$187.92 |
| 96127 |
|
17 |
15 |
$68.87 |
| 96161 |
|
12 |
12 |
$36.00 |
| 85018 |
|
12 |
12 |
$34.56 |
| 3008F |
|
62 |
49 |
$0.00 |