| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,017 |
991 |
$73K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,189 |
1,166 |
$57K |
| 99051 |
|
1,089 |
1,064 |
$31K |
| 99215 |
Prolong outpt/office vis |
121 |
113 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
134 |
134 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
258 |
252 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
37 |
37 |
$2K |
| 87428 |
|
26 |
26 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$891.50 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
68 |
33 |
$876.40 |
| 90686 |
|
56 |
41 |
$146.00 |
| 92551 |
|
67 |
67 |
$26.00 |
| 96127 |
|
37 |
37 |
$8.80 |
| 96160 |
|
37 |
37 |
$7.66 |