| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,415 |
5,529 |
$217K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,629 |
1,527 |
$107K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,031 |
974 |
$55K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
864 |
826 |
$44K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,105 |
818 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
321 |
307 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
949 |
783 |
$10K |
| 90670 |
|
733 |
722 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
109 |
106 |
$6K |
| 90698 |
|
531 |
524 |
$5K |
| 87081 |
|
703 |
584 |
$5K |
| 90680 |
|
459 |
456 |
$4K |
| 90633 |
|
345 |
337 |
$3K |
| 90744 |
|
318 |
315 |
$3K |
| 90707 |
|
256 |
250 |
$2K |
| 90716 |
|
251 |
246 |
$2K |
| 90686 |
|
196 |
188 |
$2K |
| 87807 |
|
121 |
103 |
$1K |
| 90648 |
|
89 |
86 |
$783.92 |
| 90685 |
|
69 |
66 |
$630.96 |
| 90723 |
|
64 |
62 |
$583.16 |
| 90734 |
|
62 |
59 |
$554.48 |
| 90688 |
|
50 |
48 |
$458.88 |
| 90696 |
|
38 |
38 |
$353.72 |
| 90651 |
|
26 |
26 |
$239.00 |
| 90700 |
|
14 |
14 |
$133.84 |