| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
991 |
857 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,318 |
1,114 |
$56K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
151 |
132 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
73 |
64 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
328 |
307 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
171 |
156 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
20 |
$2K |
| 96160 |
|
106 |
94 |
$935.96 |
| 90686 |
|
84 |
82 |
$537.60 |
| 90734 |
|
46 |
39 |
$426.43 |
| 90651 |
|
45 |
34 |
$289.92 |
| 90696 |
|
38 |
36 |
$243.20 |
| 90710 |
|
27 |
26 |
$172.80 |
| 90715 |
|
21 |
16 |
$135.04 |
| 90633 |
|
16 |
14 |
$96.00 |