| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,359 |
1,221 |
$152K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
669 |
641 |
$51K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
150 |
150 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
152 |
149 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
688 |
685 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
94 |
94 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
243 |
238 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
52 |
52 |
$6K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
87 |
85 |
$1K |
| 87070 |
|
70 |
70 |
$633.73 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$580.68 |
| 87420 |
|
31 |
30 |
$389.48 |
| 96127 |
|
52 |
50 |
$278.88 |
| 92551 |
|
152 |
152 |
$121.42 |
| 90686 |
|
104 |
103 |
$51.09 |
| 36415 |
Collection of venous blood by venipuncture |
54 |
53 |
$9.00 |
| 99173 |
|
83 |
83 |
$3.17 |
| 90670 |
|
26 |
26 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |