| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,858 |
2,782 |
$169K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,689 |
1,628 |
$66K |
| 99051 |
|
869 |
863 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
176 |
176 |
$2K |
| 92551 |
|
344 |
344 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
159 |
141 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
30 |
30 |
$1K |
| 90682 |
|
27 |
27 |
$884.00 |
| 99173 |
|
331 |
331 |
$530.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
13 |
$285.75 |
| 83655 |
|
31 |
31 |
$220.00 |
| 90734 |
|
12 |
12 |
$132.00 |
| 90674 |
|
45 |
33 |
$44.00 |
| 90661 |
|
12 |
12 |
$0.00 |
| 3078F |
|
13 |
12 |
$0.00 |
| 3288F |
|
13 |
13 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| 3079F |
|
100 |
99 |
$0.00 |
| 3061F |
|
73 |
71 |
$0.00 |
| 96127 |
|
13 |
13 |
$0.00 |