| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
536 |
502 |
$74K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
754 |
710 |
$72K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
70 |
65 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
44 |
44 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
25 |
$3K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
16 |
16 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
69 |
69 |
$2K |
| 87275 |
|
55 |
55 |
$2K |
| 87276 |
|
55 |
55 |
$2K |
| 80061 |
Lipid panel |
27 |
27 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$2K |
| 80053 |
Comprehensive metabolic panel |
40 |
40 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
56 |
56 |
$2K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
16 |
16 |
$1K |