| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,062 |
3,706 |
$436K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,699 |
5,334 |
$423K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,648 |
1,624 |
$173K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,177 |
1,160 |
$123K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,022 |
1,012 |
$119K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
716 |
701 |
$71K |
| 90686 |
|
1,644 |
1,535 |
$36K |
| 99070 |
|
2,468 |
2,364 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,332 |
548 |
$15K |
| E0700 |
Safety equipment, device or accessory, any type |
1,656 |
1,577 |
$13K |
| 90670 |
|
462 |
461 |
$11K |
| 90648 |
|
482 |
477 |
$11K |
| 94760 |
|
4,355 |
4,242 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
565 |
532 |
$7K |
| 99173 |
|
1,869 |
1,847 |
$5K |
| 90734 |
|
201 |
199 |
$5K |
| 90723 |
|
185 |
185 |
$4K |
| 90651 |
|
177 |
175 |
$4K |
| 96127 |
|
809 |
801 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
136 |
133 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
68 |
67 |
$3K |
| 90707 |
|
79 |
77 |
$2K |
| 90716 |
|
79 |
77 |
$2K |
| 87807 |
|
137 |
125 |
$2K |
| 90633 |
|
47 |
43 |
$1K |
| 90620 |
|
26 |
26 |
$880.22 |
| 99174 |
|
118 |
115 |
$748.92 |
| 90715 |
|
27 |
26 |
$616.06 |
| 90681 |
|
12 |
12 |
$279.36 |