| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,718 |
1,604 |
$182K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,752 |
1,586 |
$125K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
396 |
395 |
$42K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
302 |
300 |
$31K |
| 90686 |
|
969 |
966 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
204 |
203 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
165 |
160 |
$17K |
| 90700 |
|
256 |
256 |
$6K |
| 92588 |
|
101 |
101 |
$5K |
| 90713 |
|
83 |
83 |
$2K |
| 99051 |
|
147 |
143 |
$2K |
| 90648 |
|
77 |
77 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
105 |
104 |
$2K |
| 90670 |
|
57 |
57 |
$1K |
| 90685 |
|
44 |
44 |
$1K |
| 90734 |
|
26 |
26 |
$650.52 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
15 |
$496.50 |
| 90633 |
|
13 |
13 |
$271.56 |
| 90651 |
|
25 |
25 |
$161.85 |
| 0071A |
|
134 |
105 |
$0.00 |
| 91300 |
|
107 |
85 |
$0.00 |
| 91307 |
|
208 |
154 |
$0.00 |
| 0072A |
|
61 |
48 |
$0.00 |