| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
516 |
496 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
357 |
343 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
454 |
438 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
339 |
331 |
$25K |
| 92551 |
|
661 |
630 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
285 |
271 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
109 |
105 |
$9K |
| 99173 |
|
472 |
447 |
$8K |
| 90723 |
|
265 |
257 |
$5K |
| 90670 |
|
414 |
406 |
$5K |
| 90648 |
|
389 |
378 |
$5K |
| 90686 |
|
228 |
227 |
$3K |
| 90680 |
|
168 |
166 |
$2K |
| 90633 |
|
89 |
89 |
$1K |
| 90734 |
|
39 |
35 |
$420.69 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$411.72 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
15 |
$341.77 |
| 90651 |
|
43 |
42 |
$266.60 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$192.58 |
| 90620 |
|
31 |
26 |
$175.92 |