| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
933 |
864 |
$50K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
104 |
95 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
433 |
411 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
67 |
65 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
145 |
134 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
23 |
22 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$932.87 |
| 90686 |
|
60 |
60 |
$665.53 |
| 90734 |
|
13 |
13 |
$190.68 |
| 90670 |
|
15 |
13 |
$173.25 |