| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
275 |
260 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
213 |
196 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
61 |
59 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
39 |
39 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
36 |
36 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 92552 |
|
44 |
43 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
86 |
81 |
$1K |
| 99173 |
|
148 |
145 |
$372.96 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$355.50 |
| 90670 |
|
26 |
26 |
$309.44 |
| 90707 |
|
18 |
17 |
$206.04 |
| 90716 |
|
17 |
16 |
$194.49 |
| 90651 |
|
14 |
14 |
$180.53 |
| 83655 |
|
12 |
12 |
$167.64 |
| 90696 |
|
13 |
12 |
$148.29 |
| 99000 |
|
90 |
85 |
$0.00 |