| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,316 |
6,769 |
$247K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
725 |
678 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
431 |
428 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
254 |
251 |
$14K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
45 |
12 |
$8K |
| 90734 |
|
484 |
474 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
67 |
65 |
$4K |
| 90715 |
|
304 |
294 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
259 |
134 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$825.98 |
| 90710 |
|
61 |
61 |
$801.54 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
41 |
41 |
$585.51 |
| 90670 |
|
14 |
14 |
$183.96 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$154.95 |
| 90696 |
|
12 |
12 |
$144.54 |
| 90633 |
|
20 |
17 |
$143.40 |