| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,624 |
2,331 |
$128K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,250 |
1,218 |
$110K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
737 |
722 |
$65K |
| 90698 |
|
883 |
869 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
272 |
268 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
209 |
206 |
$19K |
| 92587 |
|
370 |
359 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
105 |
103 |
$9K |
| 90670 |
|
981 |
965 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
205 |
150 |
$5K |
| 90680 |
|
701 |
689 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
255 |
246 |
$4K |
| 90744 |
|
474 |
463 |
$3K |
| 90710 |
|
116 |
111 |
$3K |
| 90686 |
|
400 |
397 |
$3K |
| 99188 |
|
101 |
96 |
$2K |
| 90633 |
|
212 |
205 |
$1K |
| 99381 |
|
12 |
12 |
$1K |
| 90651 |
|
63 |
61 |
$426.07 |
| 99177 |
|
26 |
26 |
$337.85 |
| 87807 |
|
14 |
13 |
$252.08 |
| 90734 |
|
29 |
29 |
$212.31 |