| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
721 |
655 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
921 |
857 |
$42K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
287 |
275 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
284 |
279 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
155 |
147 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
87 |
85 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
312 |
289 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
103 |
98 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
36 |
35 |
$3K |
| 96127 |
|
142 |
131 |
$2K |
| 90670 |
|
86 |
82 |
$1K |
| 81003 |
|
530 |
514 |
$1K |
| 90633 |
|
102 |
95 |
$828.75 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
32 |
32 |
$502.40 |
| 90647 |
|
63 |
50 |
$430.06 |
| 85018 |
|
181 |
181 |
$404.01 |
| 90686 |
|
56 |
52 |
$358.40 |
| 90723 |
|
40 |
30 |
$326.55 |
| 99173 |
|
30 |
30 |
$223.50 |
| 90734 |
|
22 |
14 |
$115.20 |
| 94760 |
|
41 |
40 |
$35.20 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$32.80 |