| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,327 |
2,890 |
$196K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
224 |
218 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
517 |
482 |
$19K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
827 |
804 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
100 |
100 |
$9K |
| 90688 |
|
363 |
351 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
267 |
262 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
28 |
$3K |
| 90686 |
|
227 |
222 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$901.34 |
| 90685 |
|
37 |
36 |
$614.48 |
| 90698 |
|
26 |
26 |
$318.75 |
| 90734 |
|
30 |
30 |
$312.25 |
| 99401 |
|
33 |
32 |
$265.60 |
| 90633 |
|
43 |
42 |
$263.90 |
| 90651 |
|
13 |
13 |
$219.61 |
| 90715 |
|
18 |
18 |
$110.04 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$97.60 |
| 90670 |
|
14 |
13 |
$73.92 |
| G8482 |
Influenza immunization administered or previously received |
21 |
21 |
$0.00 |