| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
740 |
656 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
636 |
566 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
283 |
274 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
330 |
316 |
$19K |
| 90698 |
|
408 |
404 |
$10K |
| 90670 |
|
413 |
409 |
$5K |
| 90686 |
|
196 |
196 |
$3K |
| 90680 |
|
272 |
268 |
$3K |
| 90744 |
|
152 |
150 |
$2K |
| 90685 |
|
98 |
96 |
$1K |
| 90633 |
|
61 |
55 |
$652.32 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
33 |
17 |
$643.48 |
| 90651 |
|
13 |
13 |
$81.81 |