| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,635 |
1,510 |
$280K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
789 |
759 |
$93K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
313 |
301 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
199 |
191 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
318 |
289 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
231 |
227 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
33 |
27 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
37 |
31 |
$4K |
| 99384 |
|
17 |
14 |
$2K |