| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
755 |
710 |
$37K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
80 |
79 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
78 |
77 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
53 |
53 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
46 |
43 |
$1K |
| 90686 |
|
125 |
125 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
12 |
$1K |
| 90723 |
|
40 |
40 |
$896.10 |
| 90670 |
|
55 |
55 |
$598.89 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
20 |
20 |
$281.57 |
| 90647 |
|
26 |
26 |
$242.57 |
| 90680 |
|
12 |
12 |
$106.92 |