| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
830 |
791 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
78 |
71 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
61 |
60 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
43 |
43 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
77 |
73 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
14 |
$508.12 |
| 90686 |
|
59 |
59 |
$394.50 |
| 87070 |
|
16 |
15 |
$160.02 |
| 90633 |
|
13 |
13 |
$88.74 |
| 90670 |
|
12 |
12 |
$83.26 |