| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,398 |
1,360 |
$108K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,952 |
1,809 |
$100K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
720 |
666 |
$58K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
511 |
505 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
191 |
182 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
622 |
607 |
$10K |
| 90723 |
|
412 |
408 |
$9K |
| 90670 |
|
584 |
577 |
$7K |
| 90686 |
|
563 |
539 |
$6K |
| 90647 |
|
348 |
343 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
46 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
101 |
92 |
$3K |
| 90680 |
|
187 |
184 |
$2K |
| 90685 |
|
109 |
107 |
$1K |
| 90633 |
|
86 |
86 |
$894.73 |
| 90651 |
|
133 |
129 |
$852.70 |
| 90734 |
|
22 |
22 |
$268.26 |
| 90715 |
|
12 |
12 |
$266.01 |
| 83655 |
|
14 |
14 |
$177.55 |
| 90681 |
|
14 |
14 |
$154.10 |
| 87807 |
|
12 |
12 |
$149.69 |
| 90621 |
|
12 |
12 |
$85.58 |
| 85018 |
|
16 |
16 |
$39.87 |