| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,934 |
2,724 |
$96K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
743 |
682 |
$46K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
419 |
399 |
$22K |
| 99215 |
Prolong outpt/office vis |
219 |
187 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
386 |
368 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
361 |
351 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
417 |
408 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
47 |
38 |
$2K |
| 99381 |
|
13 |
12 |
$676.92 |