| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
794 |
749 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
319 |
306 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
248 |
221 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
124 |
112 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
171 |
166 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
26 |
$2K |
| 90686 |
|
90 |
88 |
$1K |
| 90670 |
|
96 |
96 |
$1K |
| 90723 |
|
26 |
26 |
$589.86 |
| 90647 |
|
29 |
29 |
$340.78 |
| 90680 |
|
13 |
13 |
$138.30 |
| 87807 |
|
13 |
12 |
$126.67 |