| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
454 |
432 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
490 |
468 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
223 |
212 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
188 |
186 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
81 |
79 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
52 |
52 |
$4K |
| 99058 |
|
316 |
300 |
$4K |
| 90698 |
|
50 |
50 |
$1K |
| 90670 |
|
194 |
189 |
$1K |
| 90686 |
|
172 |
169 |
$904.15 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
28 |
28 |
$842.41 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
13 |
$834.47 |
| 90723 |
|
30 |
30 |
$802.50 |
| 90680 |
|
82 |
79 |
$419.85 |
| 90648 |
|
78 |
76 |
$406.60 |
| 90633 |
|
13 |
13 |
$69.55 |