| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,191 |
2,030 |
$127K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,654 |
1,509 |
$62K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
58 |
58 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
51 |
51 |
$4K |
| 92551 |
|
277 |
276 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
18 |
18 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
62 |
62 |
$660.00 |
| 99173 |
|
261 |
260 |
$602.50 |
| 90682 |
|
15 |
14 |
$476.00 |
| 83655 |
|
51 |
51 |
$440.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
53 |
50 |
$348.32 |
| 90674 |
|
34 |
34 |
$187.00 |
| 96127 |
|
56 |
55 |
$17.60 |
| 3078F |
|
97 |
91 |
$0.00 |
| 96160 |
|
49 |
49 |
$0.00 |
| 90661 |
|
14 |
14 |
$0.00 |
| 3061F |
|
49 |
40 |
$0.00 |
| 3079F |
|
42 |
40 |
$0.00 |