| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
10,822 |
8,090 |
$959K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,310 |
5,661 |
$466K |
| 94010 |
|
6,890 |
4,593 |
$170K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
936 |
935 |
$62K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
331 |
331 |
$25K |
| 92551 |
|
2,127 |
2,126 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
485 |
476 |
$22K |
| 90686 |
|
1,479 |
1,472 |
$13K |
| 99205 |
Prolong outpt/office vis |
80 |
80 |
$9K |
| 99173 |
|
2,087 |
2,085 |
$7K |
| H0033 |
Oral medication administration, direct observation |
241 |
232 |
$5K |
| 90649 |
|
270 |
270 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
38 |
36 |
$3K |
| 86580 |
|
624 |
620 |
$2K |
| 85018 |
|
831 |
827 |
$2K |
| 81003 |
|
591 |
582 |
$1K |
| 90670 |
|
111 |
100 |
$999.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
109 |
105 |
$964.74 |
| 94060 |
|
17 |
14 |
$765.51 |
| 90633 |
|
55 |
55 |
$495.03 |
| 90658 |
|
45 |
45 |
$405.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$314.16 |
| 90713 |
|
23 |
15 |
$207.00 |
| 90700 |
|
23 |
15 |
$207.00 |
| 90648 |
|
23 |
15 |
$207.00 |
| 90734 |
|
15 |
15 |
$135.00 |
| 90619 |
|
13 |
13 |
$117.04 |
| 90715 |
|
12 |
12 |
$108.00 |