| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
890 |
823 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
365 |
356 |
$21K |
| 92587 |
|
167 |
165 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
43 |
43 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
47 |
44 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
212 |
202 |
$3K |
| 90670 |
|
25 |
25 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
30 |
28 |
$2K |
| 90686 |
|
169 |
169 |
$1K |
| 90698 |
|
12 |
12 |
$1K |
| 90680 |
|
12 |
12 |
$974.76 |
| 81002 |
|
275 |
267 |
$908.71 |
| 92567 |
|
25 |
25 |
$480.07 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
25 |
25 |
$337.44 |
| 90685 |
|
28 |
28 |
$217.00 |