| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,265 |
1,214 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
214 |
212 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
158 |
150 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
138 |
132 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
105 |
103 |
$7K |
| 92551 |
|
327 |
321 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
78 |
78 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
316 |
158 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
174 |
166 |
$2K |
| 87070 |
|
121 |
113 |
$1K |
| 90686 |
|
153 |
150 |
$915.76 |
| 90670 |
|
93 |
91 |
$565.78 |
| 87807 |
|
28 |
28 |
$447.77 |
| 90698 |
|
12 |
12 |
$389.73 |
| 83655 |
|
13 |
12 |
$154.41 |
| 90744 |
|
13 |
13 |
$85.03 |
| 90651 |
|
14 |
14 |
$84.16 |
| 90680 |
|
12 |
12 |
$77.94 |
| 90685 |
|
12 |
12 |
$73.50 |
| 85018 |
|
27 |
26 |
$68.95 |