| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,337 |
9,253 |
$694K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,060 |
8,807 |
$352K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,261 |
2,097 |
$120K |
| 87631 |
|
806 |
760 |
$99K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,683 |
1,596 |
$94K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,666 |
1,469 |
$85K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
792 |
707 |
$42K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
312 |
298 |
$35K |
| 99215 |
Prolong outpt/office vis |
277 |
262 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
910 |
815 |
$10K |
| 99381 |
|
68 |
63 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
35 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
102 |
99 |
$1K |
| 99460 |
|
39 |
14 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
60 |
58 |
$698.48 |
| 99188 |
|
27 |
23 |
$438.85 |
| 87807 |
|
17 |
14 |
$182.14 |
| 99462 |
|
32 |
14 |
$0.00 |