| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,707 |
1,466 |
$108K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
750 |
676 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
134 |
123 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
81 |
72 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
52 |
52 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
42 |
30 |
$3K |
| 90686 |
|
179 |
152 |
$2K |
| 92551 |
|
211 |
195 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
27 |
$1K |
| 99173 |
|
56 |
52 |
$999.47 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
273 |
239 |
$585.90 |
| 96127 |
|
215 |
182 |
$571.54 |
| 90674 |
|
38 |
37 |
$559.30 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
44 |
26 |
$398.40 |
| 90661 |
|
25 |
24 |
$370.80 |
| 90688 |
|
22 |
20 |
$191.20 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
32 |
27 |
$130.74 |
| 96160 |
|
166 |
156 |
$0.00 |
| 99072 |
|
172 |
158 |
$0.00 |