| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,715 |
1,417 |
$113K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
472 |
438 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
321 |
293 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
340 |
306 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
250 |
212 |
$17K |
| 92552 |
|
872 |
797 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
258 |
244 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
203 |
193 |
$5K |
| 90658 |
|
373 |
346 |
$3K |
| 90670 |
|
186 |
172 |
$1K |
| 90651 |
|
120 |
111 |
$775.05 |
| 90461 |
|
449 |
410 |
$721.30 |
| 99173 |
|
897 |
821 |
$667.58 |
| 90734 |
|
93 |
86 |
$621.51 |
| 90685 |
|
107 |
101 |
$556.42 |
| 90698 |
|
75 |
74 |
$511.23 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
40 |
$504.44 |
| 90715 |
|
76 |
67 |
$491.55 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
26 |
$363.66 |
| 90688 |
|
28 |
28 |
$343.20 |
| 90710 |
|
61 |
59 |
$295.84 |
| 85018 |
|
124 |
113 |
$233.27 |
| 90633 |
|
64 |
55 |
$230.42 |
| 36416 |
|
124 |
113 |
$209.06 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$167.80 |
| 81002 |
|
62 |
54 |
$153.94 |
| 90744 |
|
13 |
13 |
$55.44 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,091 |
988 |
$36.33 |
| 94760 |
|
219 |
204 |
$25.12 |