| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
785 |
754 |
$72K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
752 |
706 |
$46K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
438 |
432 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
315 |
302 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
216 |
210 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
90 |
90 |
$10K |
| 90698 |
|
358 |
353 |
$9K |
| 90686 |
|
421 |
415 |
$8K |
| 90670 |
|
384 |
379 |
$6K |
| 99215 |
Prolong outpt/office vis |
41 |
41 |
$5K |
| 90680 |
|
225 |
222 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
71 |
70 |
$3K |
| 90744 |
|
104 |
102 |
$2K |
| 99382 |
|
14 |
14 |
$1K |
| 99381 |
|
14 |
14 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 90633 |
|
72 |
66 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
61 |
48 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
57 |
56 |
$904.28 |
| 90734 |
|
13 |
13 |
$325.00 |
| 90672 |
|
13 |
13 |
$325.00 |
| 90710 |
|
13 |
13 |
$310.21 |
| 90651 |
|
27 |
27 |
$193.28 |
| 96161 |
|
12 |
12 |
$37.38 |