| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
356 |
345 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
263 |
253 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
403 |
395 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
92 |
89 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
57 |
56 |
$4K |
| 99058 |
|
260 |
248 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
19 |
19 |
$1K |
| 90723 |
|
48 |
48 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$962.85 |
| 90686 |
|
174 |
171 |
$914.85 |
| 90670 |
|
160 |
156 |
$833.64 |
| 90648 |
|
113 |
111 |
$593.85 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$358.68 |
| 90680 |
|
45 |
45 |
$240.75 |
| 90633 |
|
24 |
24 |
$128.40 |
| 90688 |
|
12 |
12 |
$63.10 |