| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
628 |
592 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
753 |
710 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
139 |
134 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
125 |
121 |
$11K |
| 92551 |
|
215 |
209 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
55 |
55 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
55 |
55 |
$5K |
| 99173 |
|
160 |
154 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
97 |
85 |
$2K |
| 90686 |
|
129 |
122 |
$2K |
| 90670 |
|
85 |
83 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
50 |
48 |
$869.05 |
| 90698 |
|
40 |
38 |
$819.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$548.20 |
| 90734 |
|
31 |
31 |
$417.96 |
| 85018 |
|
136 |
128 |
$402.55 |
| 90633 |
|
28 |
26 |
$363.42 |
| 90744 |
|
28 |
26 |
$308.00 |
| 87807 |
|
15 |
14 |
$225.07 |
| 90680 |
|
12 |
12 |
$149.98 |
| 90651 |
|
13 |
13 |
$94.58 |