| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,723 |
1,590 |
$166K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
465 |
449 |
$46K |
| 99215 |
Prolong outpt/office vis |
327 |
316 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
292 |
290 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
231 |
229 |
$26K |
| 92551 |
|
811 |
785 |
$21K |
| 90686 |
|
660 |
659 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
287 |
284 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
85 |
83 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
358 |
348 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
274 |
134 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
107 |
105 |
$4K |
| 90670 |
|
70 |
70 |
$2K |
| 90685 |
|
54 |
54 |
$1K |
| 90734 |
|
51 |
50 |
$1K |
| 92587 |
|
30 |
30 |
$1K |
| 90651 |
|
64 |
64 |
$412.38 |
| 90700 |
|
14 |
14 |
$350.28 |
| 90716 |
|
13 |
13 |
$325.26 |
| 90707 |
|
13 |
13 |
$325.26 |
| 90715 |
|
12 |
12 |
$294.96 |
| 87807 |
|
14 |
14 |
$271.03 |
| 99173 |
|
20 |
18 |
$191.25 |
| 90620 |
|
27 |
25 |
$161.57 |
| 85018 |
|
15 |
15 |
$39.45 |