| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,812 |
1,720 |
$91K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
870 |
823 |
$73K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
778 |
772 |
$66K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
536 |
531 |
$46K |
| 90723 |
|
358 |
358 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
85 |
83 |
$7K |
| 90686 |
|
646 |
646 |
$5K |
| 90670 |
|
493 |
491 |
$3K |
| 90647 |
|
309 |
309 |
$2K |
| 90633 |
|
160 |
160 |
$1K |
| 99188 |
|
57 |
57 |
$1K |
| 90672 |
|
150 |
150 |
$1K |
| 90681 |
|
111 |
111 |
$789.09 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
12 |
$489.54 |
| 83655 |
|
24 |
24 |
$354.31 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
16 |
$333.09 |
| 90710 |
|
13 |
13 |
$279.89 |
| 90734 |
|
17 |
16 |
$108.15 |
| 85014 |
|
25 |
25 |
$71.84 |
| 85018 |
|
25 |
25 |
$71.84 |