| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,111 |
1,905 |
$137K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,230 |
1,110 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
552 |
517 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
452 |
420 |
$32K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
423 |
362 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
220 |
201 |
$15K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
198 |
175 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
129 |
123 |
$10K |
| 90670 |
|
420 |
387 |
$5K |
| 90698 |
|
350 |
303 |
$3K |
| 90651 |
|
66 |
62 |
$2K |
| 90686 |
|
271 |
255 |
$2K |
| 90734 |
|
79 |
76 |
$2K |
| 90710 |
|
91 |
87 |
$1K |
| 96127 |
|
75 |
73 |
$1K |
| 90680 |
|
136 |
123 |
$838.40 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
35 |
31 |
$519.17 |
| 90744 |
|
55 |
51 |
$500.17 |
| 90715 |
|
46 |
45 |
$481.40 |
| 90696 |
|
26 |
25 |
$210.70 |