| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
756 |
732 |
$71K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
754 |
743 |
$63K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
747 |
691 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
441 |
439 |
$42K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
314 |
309 |
$30K |
| 90698 |
|
584 |
581 |
$15K |
| 90670 |
|
584 |
581 |
$9K |
| 90680 |
|
408 |
406 |
$6K |
| 90686 |
|
281 |
279 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
50 |
47 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
98 |
93 |
$4K |
| 90744 |
|
220 |
219 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
151 |
101 |
$3K |
| 90633 |
|
100 |
99 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
81 |
75 |
$1K |
| 99051 |
|
47 |
45 |
$598.78 |
| 83655 |
|
40 |
40 |
$484.46 |
| 90685 |
|
16 |
13 |
$325.26 |
| 90734 |
|
13 |
13 |
$285.97 |
| 90707 |
|
14 |
14 |
$280.63 |
| 96161 |
|
84 |
82 |
$233.80 |
| 90716 |
|
14 |
14 |
$160.28 |
| 85018 |
|
40 |
40 |
$95.20 |
| 90651 |
|
13 |
13 |
$90.66 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
14 |
13 |
$0.00 |