| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
390 |
336 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
32 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$3K |
| 92551 |
|
77 |
77 |
$719.28 |
| 96127 |
|
55 |
55 |
$395.64 |
| 99173 |
|
121 |
121 |
$291.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$223.72 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
19 |
19 |
$190.00 |
| W7000 |
|
12 |
12 |
$61.68 |