| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,435 |
3,130 |
$285K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,248 |
2,089 |
$114K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
326 |
322 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
234 |
229 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
156 |
154 |
$13K |
| 90688 |
|
663 |
657 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
522 |
254 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
55 |
52 |
$4K |
| 90672 |
|
167 |
164 |
$2K |
| 0072A |
|
48 |
48 |
$2K |
| 90687 |
|
83 |
81 |
$1K |
| 90700 |
|
68 |
67 |
$887.57 |
| 0071A |
|
15 |
14 |
$560.00 |
| 90716 |
|
12 |
12 |
$381.44 |
| 99188 |
|
12 |
12 |
$249.48 |
| 90713 |
|
14 |
14 |
$184.94 |
| 90647 |
|
12 |
12 |
$142.10 |
| 99173 |
|
133 |
131 |
$96.33 |
| 91307 |
|
64 |
60 |
$0.63 |