| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,809 |
1,650 |
$140K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,100 |
1,928 |
$107K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
653 |
603 |
$55K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
487 |
482 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
247 |
244 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
71 |
69 |
$6K |
| 90723 |
|
207 |
207 |
$4K |
| 90686 |
|
600 |
598 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
214 |
162 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
179 |
178 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
130 |
77 |
$3K |
| 90670 |
|
355 |
354 |
$3K |
| 90647 |
|
216 |
215 |
$2K |
| 85018 |
|
265 |
257 |
$761.39 |
| 85014 |
|
265 |
257 |
$755.20 |
| 90633 |
|
70 |
70 |
$503.60 |
| 90651 |
|
72 |
69 |
$495.06 |
| 83655 |
|
36 |
36 |
$456.52 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
20 |
17 |
$344.78 |
| 90707 |
|
16 |
16 |
$330.86 |
| 87807 |
|
12 |
12 |
$243.19 |
| 90681 |
|
27 |
27 |
$190.74 |