| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,183 |
1,822 |
$134K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
726 |
645 |
$60K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
456 |
431 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
394 |
372 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
183 |
177 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,129 |
518 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
741 |
682 |
$9K |
| 90670 |
|
342 |
328 |
$6K |
| 90647 |
|
270 |
260 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
61 |
54 |
$5K |
| 90633 |
|
217 |
207 |
$4K |
| 90680 |
|
211 |
202 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
52 |
51 |
$3K |
| 90686 |
|
124 |
121 |
$2K |
| 90687 |
|
127 |
120 |
$2K |
| 90723 |
|
116 |
113 |
$2K |
| 90651 |
|
43 |
42 |
$831.18 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
67 |
55 |
$522.00 |
| 90700 |
|
26 |
26 |
$514.54 |
| 90707 |
|
26 |
25 |
$455.17 |
| 90716 |
|
26 |
25 |
$455.17 |
| 82947 |
|
111 |
106 |
$404.00 |
| 36416 |
|
164 |
153 |
$382.50 |
| 90734 |
|
16 |
15 |
$296.85 |
| 90698 |
|
15 |
15 |
$296.85 |
| 81002 |
|
81 |
70 |
$205.83 |
| 85018 |
|
53 |
46 |
$120.24 |
| 94760 |
|
311 |
288 |
$0.00 |