| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
948 |
846 |
$134K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
246 |
246 |
$46K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
223 |
222 |
$45K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
116 |
113 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
49 |
49 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
82 |
81 |
$4K |
| 85018 |
|
338 |
331 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
49 |
49 |
$1K |