| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
230 |
218 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
169 |
159 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
165 |
154 |
$9K |
| 90698 |
|
127 |
127 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
33 |
32 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
23 |
23 |
$2K |
| 90670 |
|
130 |
130 |
$2K |
| 90686 |
|
80 |
80 |
$1K |
| 90680 |
|
71 |
71 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
45 |
24 |
$806.34 |
| 92587 |
|
18 |
15 |
$543.55 |
| 90744 |
|
27 |
27 |
$314.14 |
| 90710 |
|
13 |
13 |
$311.94 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$234.37 |
| 96161 |
|
14 |
13 |
$33.90 |
| 85018 |
|
12 |
12 |
$31.11 |