| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
782 |
758 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
347 |
330 |
$14K |
| 99215 |
Prolong outpt/office vis |
136 |
127 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
161 |
156 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
90 |
89 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
84 |
84 |
$6K |
| 92551 |
|
123 |
122 |
$4K |
| 90686 |
|
331 |
315 |
$2K |
| 90700 |
|
92 |
91 |
$2K |
| 99050 |
|
14 |
14 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
21 |
18 |
$1K |
| 90713 |
|
85 |
84 |
$488.44 |
| 83655 |
|
29 |
29 |
$424.08 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
25 |
$368.25 |
| 90670 |
|
62 |
61 |
$362.83 |
| 99051 |
|
29 |
29 |
$345.48 |
| 90707 |
|
14 |
14 |
$243.95 |
| 90648 |
|
36 |
36 |
$207.72 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$198.12 |
| 85013 |
|
29 |
29 |
$180.38 |
| 90651 |
|
29 |
25 |
$132.79 |
| 96161 |
|
28 |
28 |
$76.82 |
| 90716 |
|
12 |
12 |
$69.64 |
| 85018 |
|
12 |
12 |
$29.29 |