| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,391 |
5,478 |
$238K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,669 |
1,335 |
$47K |
| 10060 |
|
68 |
65 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
142 |
137 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
49 |
49 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
24 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
28 |
$732.63 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$712.72 |
| 81000 |
|
436 |
422 |
$607.39 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
318 |
168 |
$293.61 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
52 |
51 |
$238.52 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
82 |
78 |
$153.18 |
| 94010 |
|
18 |
18 |
$141.48 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
40 |
26 |
$80.00 |
| 93000 |
|
16 |
16 |
$70.56 |
| 97802 |
|
17 |
17 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
47 |
$0.00 |