| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,952 |
1,637 |
$133K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
651 |
579 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
270 |
261 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
254 |
243 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
181 |
176 |
$15K |
| 99215 |
Prolong outpt/office vis |
234 |
205 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
119 |
104 |
$8K |
| 90686 |
|
374 |
291 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
183 |
147 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
140 |
102 |
$2K |
| 90670 |
|
73 |
71 |
$502.14 |
| 36415 |
Collection of venous blood by venipuncture |
94 |
94 |
$369.47 |
| 90710 |
|
12 |
12 |
$279.21 |
| 90680 |
|
30 |
26 |
$209.47 |
| 90633 |
|
25 |
25 |
$177.47 |
| 90648 |
|
26 |
26 |
$166.40 |
| 90685 |
|
17 |
17 |
$108.80 |
| 90698 |
|
16 |
14 |
$102.40 |