| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
993 |
906 |
$80K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,297 |
1,165 |
$68K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
704 |
678 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
155 |
153 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
323 |
257 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
93 |
87 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
201 |
190 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
36 |
34 |
$3K |
| 90686 |
|
334 |
333 |
$2K |
| 81003 |
|
531 |
495 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$1K |
| 90670 |
|
112 |
112 |
$829.91 |
| 87807 |
|
36 |
35 |
$536.52 |
| 81002 |
|
86 |
85 |
$331.27 |
| 90651 |
|
36 |
32 |
$236.94 |
| 90716 |
|
14 |
13 |
$97.37 |
| 90734 |
|
12 |
12 |
$89.88 |