| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
875 |
780 |
$71K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
272 |
258 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
185 |
182 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
151 |
148 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
79 |
75 |
$6K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
18 |
18 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
82 |
40 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
80 |
76 |
$1K |
| 83655 |
|
26 |
25 |
$340.85 |
| A7006 |
Administration set, with small volume filtered pneumatic nebulizer |
16 |
16 |
$105.34 |
| 85018 |
|
26 |
25 |
$66.24 |
| 99173 |
|
16 |
14 |
$36.26 |
| 94760 |
|
194 |
182 |
$25.38 |
| 99000 |
|
34 |
29 |
$3.86 |