| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,164 |
1,040 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
218 |
201 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
108 |
108 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
85 |
85 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
72 |
72 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
346 |
172 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
325 |
309 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 87807 |
|
71 |
70 |
$1K |
| 90686 |
|
153 |
151 |
$1K |
| 90698 |
|
13 |
13 |
$438.72 |
| 90670 |
|
29 |
29 |
$200.42 |