| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,356 |
1,272 |
$93K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
569 |
513 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
900 |
866 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
446 |
427 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
262 |
253 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
134 |
130 |
$12K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
247 |
231 |
$11K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
100 |
93 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
217 |
214 |
$3K |
| 90670 |
|
287 |
271 |
$3K |
| 90686 |
|
297 |
275 |
$2K |
| 90734 |
|
86 |
82 |
$2K |
| 96127 |
|
66 |
66 |
$993.71 |
| 90710 |
|
52 |
52 |
$952.41 |
| 90647 |
|
57 |
57 |
$655.20 |
| 90651 |
|
35 |
35 |
$641.42 |
| 90696 |
|
42 |
42 |
$523.56 |
| 90715 |
|
47 |
43 |
$485.85 |
| 90633 |
|
51 |
45 |
$445.64 |
| 90698 |
|
56 |
51 |
$369.47 |
| 90723 |
|
33 |
33 |
$316.68 |
| 90680 |
|
29 |
29 |
$281.74 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$210.66 |
| 36415 |
Collection of venous blood by venipuncture |
126 |
123 |
$0.00 |