| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
396 |
368 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
558 |
514 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
170 |
166 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
112 |
105 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
41 |
40 |
$3K |
| 92551 |
|
248 |
235 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
27 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
71 |
61 |
$884.43 |
| 99173 |
|
275 |
262 |
$615.25 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
18 |
$450.75 |
| 90670 |
|
12 |
12 |
$449.50 |
| 96127 |
|
76 |
67 |
$366.30 |
| 90680 |
|
12 |
12 |
$336.40 |
| 90698 |
|
12 |
12 |
$303.40 |
| 90686 |
|
27 |
24 |
$272.25 |
| 90633 |
|
12 |
12 |
$246.25 |
| 90685 |
|
22 |
18 |
$210.08 |
| 96161 |
|
13 |
13 |
$39.00 |
| 99177 |
|
27 |
27 |
$17.75 |
| 3008F |
|
89 |
75 |
$0.00 |