| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,199 |
3,531 |
$269K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,216 |
1,023 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
207 |
184 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
387 |
177 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
141 |
130 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25 |
24 |
$837.46 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
12 |
$620.51 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
15 |
12 |
$580.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
28 |
$390.40 |
| 87807 |
|
27 |
27 |
$338.26 |