| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,509 |
1,390 |
$161K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
688 |
649 |
$108K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
175 |
171 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
160 |
148 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
115 |
110 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
50 |
50 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
84 |
82 |
$3K |
| 99188 |
|
175 |
169 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
139 |
138 |
$1K |
| 94010 |
|
12 |
12 |
$1K |
| 81025 |
|
33 |
27 |
$777.60 |
| 83655 |
|
13 |
12 |
$724.38 |
| 85018 |
|
27 |
24 |
$422.82 |
| 81003 |
|
14 |
12 |
$269.71 |
| 82465 |
|
38 |
35 |
$214.32 |