| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,525 |
2,166 |
$236K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
861 |
843 |
$125K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
730 |
714 |
$106K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
85 |
84 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
160 |
153 |
$11K |
| 87807 |
|
164 |
160 |
$9K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
21 |
21 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$936.00 |
| 85018 |
|
40 |
38 |
$740.04 |
| 85014 |
|
37 |
36 |
$650.94 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
14 |
$596.69 |