| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
545 |
492 |
$79K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
184 |
170 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
148 |
140 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
75 |
73 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
65 |
59 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
54 |
52 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
81 |
81 |
$4K |
| 85018 |
|
194 |
183 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
29 |
$835.20 |