| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,345 |
1,258 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
437 |
419 |
$32K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
201 |
186 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
80 |
78 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
392 |
381 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
49 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
39 |
37 |
$3K |
| 90698 |
|
86 |
83 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
121 |
74 |
$2K |
| 90686 |
|
238 |
238 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 90670 |
|
94 |
90 |
$625.33 |
| 99188 |
|
19 |
18 |
$334.00 |
| 90680 |
|
43 |
41 |
$288.84 |
| 90651 |
|
25 |
25 |
$177.59 |
| 90633 |
|
13 |
12 |
$83.94 |
| 90744 |
|
14 |
13 |
$82.72 |