| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
972 |
943 |
$55K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
513 |
496 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
674 |
646 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
297 |
295 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
291 |
284 |
$19K |
| 99058 |
|
623 |
606 |
$7K |
| 90698 |
|
243 |
242 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
50 |
49 |
$3K |
| 90670 |
|
403 |
395 |
$2K |
| 90686 |
|
394 |
386 |
$2K |
| 90680 |
|
205 |
201 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
60 |
29 |
$894.42 |
| 90723 |
|
30 |
30 |
$802.50 |
| 90688 |
|
122 |
117 |
$615.19 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$398.02 |
| 90744 |
|
58 |
58 |
$303.84 |
| 90648 |
|
46 |
46 |
$246.10 |
| 90633 |
|
37 |
37 |
$194.80 |