| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,101 |
998 |
$62K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
145 |
142 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
60 |
60 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
52 |
52 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
50 |
50 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
74 |
72 |
$1K |
| 90648 |
|
76 |
75 |
$1K |
| 90670 |
|
74 |
74 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 90723 |
|
30 |
30 |
$818.81 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
46 |
23 |
$787.26 |
| 90680 |
|
24 |
24 |
$269.30 |
| 90633 |
|
17 |
17 |
$242.50 |
| 90686 |
|
14 |
14 |
$199.40 |
| 90688 |
|
19 |
16 |
$103.64 |