| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,611 |
2,355 |
$177K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,494 |
3,150 |
$155K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
867 |
788 |
$60K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
765 |
688 |
$59K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
339 |
324 |
$26K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
204 |
194 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
148 |
141 |
$13K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
264 |
253 |
$11K |
| 90686 |
|
541 |
517 |
$5K |
| 90670 |
|
347 |
335 |
$5K |
| 90698 |
|
301 |
287 |
$3K |
| 90680 |
|
102 |
87 |
$853.36 |
| 90647 |
|
49 |
38 |
$713.12 |
| 90744 |
|
65 |
62 |
$572.84 |
| 90633 |
|
59 |
58 |
$542.42 |
| 90685 |
|
49 |
40 |
$527.67 |
| 90723 |
|
35 |
26 |
$454.50 |
| 90651 |
|
15 |
13 |
$300.87 |
| 90677 |
|
23 |
15 |
$250.65 |
| 90734 |
|
15 |
15 |
$244.22 |
| 90656 |
|
16 |
16 |
$233.94 |
| 81003 |
|
13 |
12 |
$28.34 |
| 36415 |
Collection of venous blood by venipuncture |
21 |
15 |
$0.00 |