| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,702 |
2,179 |
$158K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
738 |
638 |
$63K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
337 |
279 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
189 |
143 |
$10K |
| 90686 |
|
131 |
114 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
33 |
29 |
$2K |
| 90670 |
|
65 |
53 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
106 |
41 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$910.00 |
| 99173 |
|
105 |
92 |
$440.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
13 |
$221.52 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
13 |
$182.00 |
| 96127 |
|
27 |
27 |
$88.29 |
| 92551 |
|
22 |
13 |
$45.00 |
| 97802 |
|
106 |
87 |
$0.00 |