| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,109 |
2,018 |
$119K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
559 |
545 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
533 |
521 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
823 |
788 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
358 |
341 |
$22K |
| 99058 |
|
1,096 |
1,044 |
$12K |
| 90698 |
|
275 |
272 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
88 |
85 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
43 |
43 |
$3K |
| 90688 |
|
612 |
598 |
$3K |
| 90670 |
|
509 |
503 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
78 |
77 |
$2K |
| 90686 |
|
399 |
389 |
$2K |
| 90723 |
|
50 |
50 |
$1K |
| 90680 |
|
174 |
174 |
$915.48 |
| 90633 |
|
145 |
137 |
$724.05 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
35 |
16 |
$469.22 |
| 90744 |
|
60 |
60 |
$314.17 |
| 90685 |
|
58 |
58 |
$301.60 |
| 90648 |
|
51 |
51 |
$272.85 |
| 90710 |
|
12 |
12 |
$252.96 |
| 90696 |
|
12 |
12 |
$252.96 |
| 90651 |
|
31 |
28 |
$142.32 |
| 99173 |
|
12 |
12 |
$87.44 |