| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,591 |
1,325 |
$116K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,093 |
1,594 |
$91K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
356 |
296 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
230 |
209 |
$16K |
| 98927 |
|
78 |
65 |
$3K |
| 90686 |
|
325 |
273 |
$3K |
| 90670 |
|
56 |
52 |
$978.36 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
14 |
$786.50 |
| 98928 |
|
12 |
12 |
$541.75 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
17 |
15 |
$500.03 |
| 98926 |
|
16 |
12 |
$469.15 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
153 |
124 |
$224.05 |
| 90723 |
|
14 |
13 |
$145.20 |
| 99173 |
|
42 |
27 |
$58.50 |