| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
577 |
526 |
$137K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
563 |
498 |
$81K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
238 |
233 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
153 |
150 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
102 |
93 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
51 |
45 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
133 |
130 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
157 |
152 |
$4K |
| 99383 |
|
12 |
12 |
$3K |
| 85018 |
|
175 |
162 |
$2K |