| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
741 |
709 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
462 |
458 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
93 |
93 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
71 |
71 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
64 |
63 |
$6K |
| 99051 |
|
179 |
177 |
$4K |
| 99188 |
|
67 |
67 |
$1K |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
12 |
12 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 92551 |
|
277 |
276 |
$1K |
| 99173 |
|
217 |
216 |
$757.61 |
| 99072 |
|
53 |
51 |
$472.50 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
18 |
$373.50 |
| 96127 |
|
240 |
223 |
$369.74 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
33 |
$244.72 |
| 90688 |
|
57 |
52 |
$187.00 |
| 96161 |
|
29 |
29 |
$103.43 |
| 96160 |
|
31 |
31 |
$0.00 |
| 90670 |
|
39 |
39 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 90697 |
|
14 |
14 |
$0.00 |