| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,102 |
1,027 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
682 |
632 |
$51K |
| 92587 |
|
121 |
119 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
58 |
56 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
284 |
273 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
144 |
76 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
34 |
34 |
$3K |
| 90686 |
|
249 |
249 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 90670 |
|
14 |
14 |
$669.42 |
| 90698 |
|
14 |
14 |
$608.04 |
| 81002 |
|
99 |
94 |
$268.65 |