| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,464 |
2,178 |
$104K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
840 |
798 |
$55K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
436 |
427 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
419 |
412 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
268 |
265 |
$23K |
| 99408 |
|
522 |
520 |
$19K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
183 |
176 |
$17K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
393 |
371 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
172 |
170 |
$11K |
| 97803 |
|
878 |
869 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
212 |
204 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
186 |
89 |
$3K |
| 87807 |
|
39 |
37 |
$439.53 |
| 85018 |
|
121 |
115 |
$326.44 |
| 3008F |
|
955 |
942 |
$0.01 |
| 2014F |
|
498 |
496 |
$0.00 |