| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,676 |
1,603 |
$95K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
381 |
370 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
353 |
346 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
591 |
580 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
219 |
215 |
$14K |
| 99058 |
|
844 |
823 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
75 |
73 |
$5K |
| 90698 |
|
143 |
142 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
57 |
57 |
$2K |
| 90670 |
|
311 |
309 |
$2K |
| 90723 |
|
43 |
43 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
66 |
32 |
$999.16 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
12 |
12 |
$919.68 |
| 90680 |
|
136 |
135 |
$708.47 |
| 90686 |
|
109 |
109 |
$578.50 |
| 90633 |
|
94 |
90 |
$466.47 |
| 90648 |
|
61 |
61 |
$322.97 |
| 90744 |
|
57 |
57 |
$297.10 |
| 90688 |
|
40 |
40 |
$205.39 |
| 90734 |
|
29 |
29 |
$152.89 |
| 90651 |
|
28 |
27 |
$142.65 |
| 90685 |
|
18 |
18 |
$93.60 |