| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
903 |
856 |
$51K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
162 |
161 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
114 |
113 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
74 |
72 |
$6K |
| 99050 |
|
159 |
157 |
$2K |
| 90670 |
|
80 |
80 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
25 |
$836.92 |
| 90633 |
|
53 |
53 |
$711.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
48 |
48 |
$688.05 |
| 90698 |
|
30 |
30 |
$506.35 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
34 |
$472.20 |
| 90710 |
|
16 |
16 |
$387.01 |
| 90680 |
|
16 |
16 |
$285.19 |
| 90686 |
|
23 |
23 |
$282.51 |
| 90696 |
|
15 |
15 |
$222.40 |
| 92551 |
|
14 |
14 |
$147.99 |
| 99173 |
|
16 |
16 |
$38.49 |