| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,258 |
12,030 |
$731K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,002 |
999 |
$69K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,669 |
4,379 |
$60K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
696 |
687 |
$47K |
| T1015 |
Clinic visit/encounter, all-inclusive |
578 |
484 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
639 |
636 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
487 |
485 |
$33K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
666 |
636 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
75 |
74 |
$6K |
| 85018 |
|
1,304 |
1,281 |
$3K |
| 92551 |
|
1,353 |
1,302 |
$3K |
| 81002 |
|
926 |
911 |
$3K |
| 69210 |
|
12 |
12 |
$408.96 |
| Q3014 |
Telehealth originating site facility fee |
12 |
12 |
$156.00 |