| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
550 |
508 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
599 |
531 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
348 |
333 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
26 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
150 |
75 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$1K |
| 87807 |
|
77 |
74 |
$1K |
| 92551 |
|
95 |
95 |
$986.34 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$971.28 |
| 81003 |
|
329 |
299 |
$862.09 |
| 90686 |
|
71 |
71 |
$837.23 |
| 85027 |
|
99 |
88 |
$700.16 |
| 85018 |
|
144 |
144 |
$404.75 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
28 |
$88.20 |
| 86308 |
|
12 |
12 |
$69.08 |