| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,685 |
1,630 |
$122K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,769 |
1,697 |
$86K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
911 |
893 |
$73K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
936 |
914 |
$72K |
| 92551 |
|
1,926 |
1,876 |
$66K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
650 |
635 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
706 |
688 |
$53K |
| 94060 |
|
400 |
392 |
$16K |
| 90698 |
|
576 |
569 |
$16K |
| 90686 |
|
1,053 |
1,037 |
$14K |
| 90670 |
|
608 |
601 |
$7K |
| 99215 |
Prolong outpt/office vis |
43 |
43 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37 |
36 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
258 |
129 |
$4K |
| 90633 |
|
323 |
315 |
$3K |
| 90734 |
|
211 |
203 |
$3K |
| 90744 |
|
260 |
258 |
$3K |
| 90651 |
|
374 |
368 |
$2K |
| 99173 |
|
479 |
472 |
$2K |
| 90710 |
|
70 |
69 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
97 |
96 |
$1K |
| 90681 |
|
150 |
148 |
$1K |
| 90715 |
|
60 |
60 |
$1K |
| 90696 |
|
54 |
54 |
$1K |
| 90685 |
|
40 |
40 |
$696.74 |
| 90620 |
|
97 |
93 |
$581.98 |
| 92567 |
|
42 |
40 |
$508.30 |
| 99188 |
|
19 |
19 |
$298.70 |
| 90648 |
|
14 |
14 |
$273.08 |
| 90700 |
|
13 |
13 |
$268.61 |
| 81002 |
|
41 |
41 |
$143.31 |