| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,030 |
1,951 |
$115K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
686 |
666 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
345 |
341 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
307 |
299 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
208 |
206 |
$13K |
| 99058 |
|
959 |
929 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
69 |
68 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
61 |
59 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
120 |
119 |
$4K |
| 90723 |
|
83 |
83 |
$2K |
| 90698 |
|
70 |
70 |
$2K |
| 90670 |
|
290 |
287 |
$2K |
| 90686 |
|
260 |
258 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
67 |
34 |
$981.24 |
| 90680 |
|
121 |
121 |
$636.20 |
| 90633 |
|
121 |
117 |
$619.33 |
| 90648 |
|
103 |
103 |
$545.70 |
| 90688 |
|
89 |
89 |
$466.72 |
| 90744 |
|
14 |
13 |
$67.60 |