| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
991 |
898 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
494 |
471 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
300 |
278 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
287 |
266 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
174 |
153 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
175 |
171 |
$15K |
| 90686 |
|
195 |
193 |
$4K |
| 90698 |
|
167 |
159 |
$4K |
| 90670 |
|
173 |
166 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
62 |
33 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
59 |
59 |
$1K |
| 90680 |
|
63 |
61 |
$906.96 |
| 90734 |
|
14 |
14 |
$310.89 |
| 90710 |
|
14 |
12 |
$300.00 |
| 90744 |
|
14 |
14 |
$216.88 |
| 90651 |
|
24 |
24 |
$174.60 |