| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,102 |
971 |
$79K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,197 |
1,143 |
$60K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
351 |
283 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
231 |
210 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
186 |
163 |
$13K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
121 |
120 |
$8K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
138 |
137 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
233 |
231 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
81 |
80 |
$4K |
| 90686 |
|
180 |
166 |
$2K |
| 90670 |
|
83 |
76 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
13 |
$744.60 |
| 90680 |
|
17 |
15 |
$275.77 |
| 90723 |
|
17 |
15 |
$275.77 |
| 90647 |
|
15 |
13 |
$242.35 |
| 83655 |
|
13 |
12 |
$154.18 |
| 90710 |
|
15 |
12 |
$96.00 |
| 90696 |
|
15 |
12 |
$96.00 |
| 85018 |
|
14 |
13 |
$37.12 |