| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,420 |
1,323 |
$82K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
616 |
609 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
623 |
604 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
587 |
568 |
$36K |
| 92551 |
|
594 |
582 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
287 |
284 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
551 |
537 |
$12K |
| 90698 |
|
409 |
402 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
130 |
124 |
$5K |
| 90670 |
|
586 |
578 |
$3K |
| 90700 |
|
177 |
176 |
$3K |
| 85018 |
|
1,202 |
1,183 |
$3K |
| 90707 |
|
141 |
140 |
$2K |
| 90680 |
|
280 |
275 |
$1K |
| 90744 |
|
276 |
274 |
$1K |
| 90716 |
|
161 |
160 |
$860.72 |
| 90686 |
|
158 |
156 |
$845.54 |
| 90715 |
|
47 |
47 |
$751.38 |
| 90651 |
|
113 |
113 |
$610.02 |
| 90633 |
|
113 |
109 |
$584.49 |
| 90734 |
|
98 |
96 |
$503.28 |
| 90713 |
|
89 |
88 |
$475.63 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
21 |
12 |
$304.48 |
| 90685 |
|
17 |
17 |
$94.18 |
| 81002 |
|
37 |
37 |
$76.08 |
| 90648 |
|
14 |
14 |
$72.80 |
| 90688 |
|
12 |
12 |
$65.89 |
| 82947 |
|
14 |
14 |
$52.36 |