| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
519 |
404 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
229 |
155 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
175 |
126 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
157 |
111 |
$6K |
| 90648 |
|
222 |
140 |
$2K |
| 90670 |
|
160 |
116 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
59 |
29 |
$2K |
| 90723 |
|
107 |
73 |
$940.40 |
| 36416 |
|
13 |
12 |
$29.52 |