| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,016 |
960 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
840 |
806 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
228 |
222 |
$15K |
| 99058 |
|
790 |
762 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
107 |
97 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
38 |
36 |
$3K |
| 90698 |
|
91 |
88 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
70 |
35 |
$1K |
| 90670 |
|
180 |
175 |
$917.65 |
| 90686 |
|
112 |
106 |
$560.39 |
| 90680 |
|
63 |
61 |
$314.28 |
| 90688 |
|
42 |
42 |
$221.34 |
| 90648 |
|
12 |
12 |
$64.20 |