| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,205 |
1,129 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
527 |
495 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
296 |
289 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
276 |
274 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
88 |
88 |
$7K |
| 90698 |
|
160 |
160 |
$5K |
| 90686 |
|
178 |
176 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 90670 |
|
166 |
166 |
$1K |
| 90688 |
|
140 |
134 |
$865.68 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
16 |
$520.34 |
| 90680 |
|
45 |
45 |
$271.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$230.02 |
| 99173 |
|
16 |
16 |
$142.50 |
| 90744 |
|
12 |
12 |
$79.70 |