| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,728 |
1,598 |
$145K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
601 |
566 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
245 |
243 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
207 |
205 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
169 |
166 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
410 |
384 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
67 |
62 |
$5K |
| 90686 |
|
282 |
279 |
$3K |
| 90670 |
|
117 |
116 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
70 |
38 |
$1K |
| 90651 |
|
56 |
56 |
$972.68 |
| 90723 |
|
67 |
66 |
$939.92 |
| 90648 |
|
75 |
75 |
$875.08 |
| 83655 |
|
54 |
52 |
$729.27 |
| 90710 |
|
31 |
31 |
$706.83 |
| 90734 |
|
43 |
43 |
$486.20 |
| 90633 |
|
34 |
34 |
$449.71 |
| 90715 |
|
34 |
34 |
$386.65 |
| 90696 |
|
29 |
29 |
$357.07 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22 |
22 |
$281.40 |
| 96127 |
|
90 |
86 |
$256.42 |
| 90681 |
|
15 |
15 |
$169.95 |
| 92551 |
|
17 |
17 |
$168.68 |
| 85018 |
|
54 |
52 |
$143.10 |
| 81003 |
|
31 |
27 |
$79.17 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$44.10 |
| 99173 |
|
18 |
18 |
$44.03 |
| 36416 |
|
99 |
96 |
$39.51 |