| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
479 |
449 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
566 |
525 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
146 |
140 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
139 |
135 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
72 |
72 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
40 |
$3K |
| 92551 |
|
262 |
252 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
85 |
82 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
29 |
$1K |
| 99173 |
|
283 |
273 |
$657.95 |
| 90670 |
|
16 |
16 |
$494.05 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$334.55 |
| 90680 |
|
14 |
14 |
$258.40 |
| 90698 |
|
14 |
14 |
$241.90 |
| 90686 |
|
22 |
20 |
$240.14 |
| 96127 |
|
51 |
44 |
$225.48 |
| 90633 |
|
13 |
13 |
$192.66 |
| 96161 |
|
13 |
13 |
$36.00 |
| 85018 |
|
12 |
12 |
$34.56 |
| 99177 |
|
13 |
13 |
$17.75 |
| 3008F |
|
74 |
67 |
$0.00 |