| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,161 |
1,071 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
301 |
291 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
224 |
221 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
175 |
170 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
222 |
117 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
45 |
45 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
221 |
212 |
$4K |
| 90698 |
|
37 |
37 |
$1K |
| 99188 |
|
63 |
62 |
$1K |
| 90686 |
|
157 |
150 |
$1K |
| 90670 |
|
95 |
95 |
$675.94 |
| 87807 |
|
19 |
18 |
$368.42 |
| 90680 |
|
27 |
27 |
$196.36 |
| 90685 |
|
20 |
19 |
$131.47 |
| 90633 |
|
12 |
12 |
$86.46 |