| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
619 |
585 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
226 |
219 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
214 |
201 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
190 |
182 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
47 |
47 |
$4K |
| 90670 |
|
166 |
159 |
$3K |
| 90648 |
|
163 |
160 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
137 |
135 |
$2K |
| 90686 |
|
141 |
140 |
$2K |
| 90723 |
|
85 |
82 |
$991.95 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
69 |
69 |
$918.21 |
| 90633 |
|
74 |
68 |
$853.85 |
| 90681 |
|
25 |
24 |
$375.25 |
| 90710 |
|
14 |
12 |
$339.58 |
| 83655 |
|
16 |
12 |
$183.01 |
| 85018 |
|
16 |
12 |
$33.16 |