| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,099 |
3,735 |
$129K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
962 |
920 |
$50K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
624 |
571 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
133 |
122 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
331 |
295 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
471 |
448 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
80 |
74 |
$4K |
| 90670 |
|
244 |
229 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
86 |
84 |
$2K |
| 90723 |
|
162 |
154 |
$2K |
| 99381 |
|
30 |
29 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
29 |
$1K |
| 90647 |
|
133 |
127 |
$1K |
| 90686 |
|
99 |
95 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
92 |
88 |
$944.60 |
| 71046 |
Radiologic examination, chest; 2 views |
29 |
24 |
$808.10 |
| 90633 |
|
62 |
59 |
$762.12 |
| 90681 |
|
57 |
52 |
$534.10 |