| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,201 |
1,841 |
$190K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
388 |
349 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
212 |
198 |
$18K |
| 92567 |
|
1,045 |
898 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
832 |
767 |
$12K |
| 92587 |
|
354 |
328 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
391 |
227 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
72 |
71 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
57 |
56 |
$5K |
| 90686 |
|
207 |
207 |
$4K |
| 81000 |
|
244 |
237 |
$924.85 |
| 90700 |
|
25 |
25 |
$566.65 |
| 90734 |
|
13 |
13 |
$248.13 |
| 90707 |
|
13 |
12 |
$244.44 |
| 90716 |
|
14 |
13 |
$203.44 |
| 90713 |
|
12 |
12 |
$181.39 |
| 81002 |
|
65 |
54 |
$178.48 |
| 90651 |
|
12 |
12 |
$76.99 |