| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
352 |
343 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
492 |
469 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
256 |
256 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
125 |
125 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
77 |
77 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
105 |
99 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$1K |
| 90686 |
|
104 |
104 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
54 |
$688.11 |
| 90698 |
|
42 |
42 |
$623.15 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
67 |
67 |
$560.14 |
| 90670 |
|
42 |
42 |
$463.10 |
| 99173 |
|
166 |
166 |
$419.58 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
18 |
$222.45 |
| 83655 |
|
14 |
14 |
$186.51 |
| 87430 |
|
12 |
12 |
$174.60 |
| 85018 |
|
40 |
40 |
$111.98 |
| 36416 |
|
102 |
102 |
$40.46 |