| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,838 |
2,405 |
$262K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
543 |
456 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
244 |
235 |
$23K |
| 99215 |
Prolong outpt/office vis |
98 |
85 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
417 |
383 |
$6K |
| 90686 |
|
290 |
281 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
53 |
42 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
186 |
92 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
18 |
$2K |
| 87807 |
|
114 |
103 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
49 |
46 |
$651.87 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
12 |
$78.72 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
33 |
30 |
$0.00 |