| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
782 |
749 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
203 |
198 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
119 |
119 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
133 |
124 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
105 |
104 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
106 |
53 |
$2K |
| 90700 |
|
103 |
96 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
82 |
79 |
$1K |
| 90686 |
|
177 |
175 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 90670 |
|
72 |
66 |
$432.76 |
| 90648 |
|
72 |
66 |
$428.54 |
| 87807 |
|
14 |
14 |
$289.80 |
| 90734 |
|
13 |
13 |
$91.46 |
| 90713 |
|
12 |
12 |
$80.65 |
| 90680 |
|
12 |
12 |
$78.20 |