| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
808 |
765 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
613 |
593 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
310 |
307 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
266 |
262 |
$17K |
| 99058 |
|
464 |
450 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
42 |
$3K |
| 90670 |
|
234 |
232 |
$1K |
| 90698 |
|
28 |
28 |
$737.80 |
| 90723 |
|
25 |
25 |
$668.75 |
| 90686 |
|
93 |
92 |
$484.63 |
| 90680 |
|
70 |
70 |
$372.26 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
23 |
12 |
$357.24 |
| 90648 |
|
46 |
46 |
$246.10 |
| 90633 |
|
24 |
24 |
$125.88 |
| 90688 |
|
21 |
20 |
$105.26 |