| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
751 |
725 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
216 |
215 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
153 |
153 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
84 |
84 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
162 |
155 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
41 |
41 |
$3K |
| 90686 |
|
113 |
113 |
$1K |
| 90698 |
|
70 |
69 |
$1K |
| 90670 |
|
43 |
43 |
$797.10 |
| 99173 |
|
209 |
209 |
$538.72 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
34 |
$437.94 |
| 90651 |
|
14 |
14 |
$335.09 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$154.18 |
| 82465 |
|
32 |
32 |
$125.75 |
| 85018 |
|
14 |
14 |
$39.62 |
| 36416 |
|
84 |
84 |
$37.40 |