| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,372 |
4,012 |
$325K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
906 |
859 |
$45K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,263 |
1,056 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
266 |
260 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
261 |
251 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
125 |
124 |
$11K |
| 90686 |
|
211 |
202 |
$3K |
| 99305 |
|
78 |
64 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
13 |
$590.71 |
| 90734 |
|
35 |
34 |
$506.58 |
| 90715 |
|
14 |
13 |
$257.32 |
| 90670 |
|
13 |
13 |
$237.27 |
| 90696 |
|
12 |
12 |
$218.89 |
| 36415 |
Collection of venous blood by venipuncture |
132 |
127 |
$0.00 |