| 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 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,056 |
1,010 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
532 |
518 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
383 |
374 |
$24K |
| 99058 |
|
826 |
786 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
130 |
123 |
$8K |
| 90698 |
|
163 |
161 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
54 |
54 |
$4K |
| 90670 |
|
428 |
422 |
$2K |
| 90723 |
|
40 |
40 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
69 |
35 |
$1K |
| 90686 |
|
172 |
170 |
$916.44 |
| 90680 |
|
172 |
170 |
$889.36 |
| 90648 |
|
119 |
118 |
$631.30 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$380.05 |
| 90633 |
|
68 |
65 |
$338.88 |
| 90688 |
|
55 |
51 |
$268.49 |
| 90744 |
|
50 |
48 |
$252.75 |