| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,554 |
3,183 |
$388K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,202 |
1,116 |
$98K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
234 |
233 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
78 |
75 |
$7K |
| 99215 |
Prolong outpt/office vis |
42 |
39 |
$5K |
| 90686 |
|
207 |
206 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
82 |
81 |
$2K |
| 90688 |
|
132 |
132 |
$2K |
| 90670 |
|
53 |
53 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
41 |
39 |
$670.30 |
| 81000 |
|
15 |
15 |
$55.32 |