| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,381 |
1,706 |
$164K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
523 |
463 |
$21K |
| 96160 |
|
443 |
330 |
$4K |
| 90686 |
|
81 |
53 |
$2K |
| 93000 |
|
94 |
86 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
17 |
13 |
$991.62 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$193.12 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$183.49 |
| 1036F |
|
207 |
163 |
$0.00 |
| 3017F |
|
87 |
63 |
$0.00 |