| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
669 |
622 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
267 |
261 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
167 |
162 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
134 |
134 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
112 |
108 |
$8K |
| 92551 |
|
262 |
254 |
$3K |
| 90670 |
|
87 |
86 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
26 |
$873.07 |
| 90686 |
|
58 |
51 |
$643.47 |
| 99173 |
|
281 |
271 |
$642.42 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20 |
12 |
$305.55 |
| 90698 |
|
25 |
25 |
$282.70 |
| 90680 |
|
25 |
25 |
$282.70 |
| 96127 |
|
58 |
43 |
$218.56 |
| 90633 |
|
12 |
12 |
$202.64 |
| 90685 |
|
16 |
16 |
$179.85 |
| 90700 |
|
12 |
12 |
$147.82 |
| 96161 |
|
46 |
44 |
$138.00 |
| 99177 |
|
13 |
13 |
$63.51 |
| 3008F |
|
86 |
77 |
$0.00 |