| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
814 |
730 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
85 |
82 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
40 |
39 |
$3K |
| 90686 |
|
262 |
262 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
90 |
47 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
78 |
74 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 90698 |
|
12 |
12 |
$403.94 |
| 90670 |
|
24 |
24 |
$165.26 |