| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,472 |
1,327 |
$97K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
940 |
856 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
354 |
331 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
296 |
289 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
278 |
269 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
115 |
115 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
248 |
240 |
$4K |
| 90686 |
|
726 |
682 |
$4K |
| 90723 |
|
116 |
114 |
$3K |
| 83655 |
|
199 |
196 |
$3K |
| 85018 |
|
1,127 |
1,066 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
95 |
91 |
$3K |
| 82465 |
|
519 |
480 |
$2K |
| 81003 |
|
731 |
676 |
$2K |
| 90670 |
|
208 |
202 |
$1K |
| 94010 |
|
60 |
46 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
37 |
37 |
$681.72 |
| 90647 |
|
77 |
75 |
$451.27 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$228.64 |
| 90681 |
|
14 |
14 |
$84.34 |
| 90633 |
|
14 |
13 |
$77.75 |
| 36416 |
|
12 |
12 |
$0.00 |