| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
377 |
359 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
188 |
179 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
178 |
170 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
130 |
126 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
50 |
46 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
212 |
206 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
89 |
76 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$1K |
| 90670 |
|
83 |
83 |
$1K |
| 90723 |
|
42 |
42 |
$938.57 |
| 90647 |
|
63 |
61 |
$824.21 |
| 90686 |
|
49 |
40 |
$478.62 |
| 90633 |
|
16 |
16 |
$241.70 |
| 90681 |
|
13 |
13 |
$168.86 |
| 90651 |
|
12 |
12 |
$88.14 |
| 85018 |
|
13 |
13 |
$40.73 |