| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,448 |
1,308 |
$71K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
415 |
407 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
367 |
341 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
182 |
180 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
400 |
377 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
72 |
69 |
$6K |
| 90698 |
|
132 |
130 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
156 |
89 |
$3K |
| 90670 |
|
211 |
208 |
$1K |
| 90686 |
|
140 |
139 |
$970.75 |
| 90680 |
|
126 |
124 |
$868.64 |
| 90685 |
|
21 |
19 |
$122.94 |