| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
781 |
753 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
172 |
171 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
145 |
136 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
50 |
50 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
41 |
41 |
$3K |
| 99058 |
|
136 |
133 |
$2K |
| 90698 |
|
48 |
47 |
$1K |
| 90686 |
|
178 |
176 |
$936.25 |
| 90670 |
|
96 |
95 |
$496.76 |
| 90723 |
|
17 |
17 |
$454.75 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$364.92 |
| 90680 |
|
43 |
42 |
$222.70 |
| 90648 |
|
30 |
30 |
$160.50 |
| 90688 |
|
30 |
24 |
$110.60 |