| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
208 |
191 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
31 |
27 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
42 |
29 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
16 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$1K |
| 94010 |
|
29 |
29 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$861.50 |
| 96160 |
|
115 |
105 |
$419.36 |
| 92551 |
|
41 |
35 |
$388.07 |
| 96127 |
|
77 |
69 |
$376.59 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
14 |
$362.90 |
| 90670 |
|
30 |
24 |
$300.25 |
| 85018 |
|
101 |
88 |
$259.25 |
| 36416 |
|
101 |
88 |
$86.40 |
| 99173 |
|
28 |
28 |
$77.49 |