| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
997 |
970 |
$63K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,225 |
1,191 |
$51K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
541 |
520 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
346 |
340 |
$24K |
| 92551 |
|
713 |
701 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
320 |
313 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
117 |
117 |
$9K |
| 90700 |
|
473 |
471 |
$8K |
| 90686 |
|
843 |
827 |
$5K |
| 83655 |
|
317 |
311 |
$4K |
| 85013 |
|
423 |
414 |
$2K |
| 90713 |
|
358 |
356 |
$2K |
| 90648 |
|
336 |
334 |
$2K |
| 90670 |
|
317 |
315 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
62 |
62 |
$938.22 |
| 90651 |
|
151 |
150 |
$875.12 |
| 90680 |
|
142 |
140 |
$811.43 |
| 90707 |
|
36 |
36 |
$628.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
37 |
36 |
$558.91 |
| 90633 |
|
67 |
67 |
$392.76 |
| 81002 |
|
127 |
121 |
$385.93 |
| 90744 |
|
67 |
67 |
$379.39 |
| 90734 |
|
43 |
42 |
$242.74 |
| 90715 |
|
13 |
13 |
$225.15 |
| 90716 |
|
24 |
24 |
$139.44 |
| 90620 |
|
18 |
15 |
$75.17 |