| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
603 |
582 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
625 |
605 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
287 |
275 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
119 |
115 |
$7K |
| 99058 |
|
419 |
405 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
69 |
67 |
$4K |
| 90698 |
|
54 |
52 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
14 |
14 |
$1K |
| 90670 |
|
167 |
163 |
$863.43 |
| 90686 |
|
147 |
145 |
$769.54 |
| 90723 |
|
25 |
25 |
$668.75 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$415.92 |
| 90648 |
|
53 |
53 |
$283.55 |
| 90688 |
|
28 |
28 |
$147.56 |
| 90680 |
|
24 |
24 |
$127.37 |
| 90633 |
|
12 |
12 |
$64.20 |
| 90744 |
|
14 |
12 |
$63.17 |