| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,750 |
2,611 |
$179K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,352 |
1,316 |
$73K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,156 |
1,127 |
$62K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
659 |
636 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
962 |
925 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
310 |
292 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,068 |
521 |
$12K |
| 90670 |
|
1,248 |
1,227 |
$12K |
| 90648 |
|
1,246 |
1,223 |
$12K |
| 90723 |
|
981 |
964 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
541 |
482 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
507 |
493 |
$6K |
| 90681 |
|
527 |
517 |
$5K |
| 90633 |
|
461 |
450 |
$4K |
| 90716 |
|
430 |
416 |
$4K |
| 90707 |
|
430 |
416 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
128 |
124 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
171 |
162 |
$2K |
| 90688 |
|
264 |
255 |
$2K |
| 90734 |
|
155 |
149 |
$1K |
| 90700 |
|
151 |
143 |
$1K |
| 87807 |
|
50 |
49 |
$650.50 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$633.60 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
59 |
59 |
$622.70 |
| 90715 |
|
71 |
66 |
$611.84 |
| 88720 |
|
55 |
40 |
$373.83 |
| 90696 |
|
33 |
30 |
$267.68 |
| 83655 |
|
18 |
15 |
$249.20 |
| 85018 |
|
18 |
15 |
$47.32 |