| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
698 |
559 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
440 |
339 |
$19K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
125 |
102 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
431 |
201 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
416 |
352 |
$5K |
| 92552 |
|
91 |
86 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
27 |
$2K |
| 90658 |
|
124 |
78 |
$851.54 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
546 |
377 |
$782.13 |
| 85018 |
|
163 |
143 |
$368.65 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
254 |
175 |
$174.60 |
| 99173 |
|
93 |
87 |
$167.96 |
| 86580 |
|
17 |
15 |
$105.00 |
| 81002 |
|
35 |
34 |
$94.72 |
| 90461 |
|
19 |
15 |
$0.00 |