| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,674 |
5,256 |
$299K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,705 |
1,470 |
$42K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,877 |
1,613 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
182 |
170 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
482 |
423 |
$14K |
| 84703 |
|
1,869 |
1,560 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
157 |
149 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
94 |
85 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
72 |
66 |
$5K |
| 81000 |
|
1,030 |
842 |
$3K |
| 90658 |
|
151 |
130 |
$2K |
| 82947 |
|
386 |
317 |
$1K |
| 99385 |
|
12 |
12 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
160 |
132 |
$928.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$822.31 |
| 99072 |
|
169 |
129 |
$612.50 |
| 90756 |
|
18 |
15 |
$262.71 |