| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,984 |
2,843 |
$172K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
454 |
403 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
398 |
394 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
339 |
313 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
260 |
254 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
137 |
134 |
$10K |
| 90723 |
|
184 |
161 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
246 |
243 |
$4K |
| 99050 |
|
44 |
44 |
$2K |
| 90686 |
|
306 |
298 |
$2K |
| 90648 |
|
322 |
290 |
$2K |
| 90670 |
|
297 |
269 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
101 |
63 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
93 |
90 |
$1K |
| 99460 |
|
15 |
15 |
$1K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$898.54 |
| 90707 |
|
55 |
53 |
$885.23 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$553.20 |
| 96161 |
|
205 |
171 |
$511.12 |
| 90716 |
|
55 |
53 |
$295.20 |
| 90461 |
|
14 |
14 |
$291.28 |
| 90681 |
|
62 |
49 |
$267.64 |
| 90633 |
|
44 |
44 |
$247.60 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$219.14 |
| 90651 |
|
40 |
40 |
$216.07 |
| 90734 |
|
26 |
26 |
$138.20 |