| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,385 |
1,272 |
$67K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
203 |
202 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
56 |
56 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
225 |
215 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
29 |
29 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
130 |
58 |
$2K |
| 90698 |
|
36 |
36 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
15 |
$1K |
| 90686 |
|
154 |
151 |
$1K |
| 81002 |
|
199 |
191 |
$674.22 |
| 90670 |
|
38 |
38 |
$265.70 |
| 90680 |
|
12 |
12 |
$86.56 |