| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
425 |
380 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
293 |
258 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
384 |
347 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
241 |
219 |
$12K |
| 90670 |
|
158 |
139 |
$999.04 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
15 |
$521.25 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
13 |
$507.65 |
| 90723 |
|
62 |
56 |
$390.72 |
| 90686 |
|
38 |
38 |
$243.20 |
| 90685 |
|
30 |
27 |
$210.34 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$148.30 |
| 90647 |
|
17 |
14 |
$96.00 |
| 90461 |
|
16 |
16 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
41 |
35 |
$0.00 |