| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,394 |
10,145 |
$579K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,799 |
2,484 |
$201K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
332 |
277 |
$27K |
| 92551 |
|
1,181 |
969 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,128 |
1,020 |
$17K |
| 81002 |
|
3,489 |
3,070 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
120 |
99 |
$9K |
| 99173 |
|
1,018 |
844 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
198 |
187 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
62 |
62 |
$5K |
| 85018 |
|
1,512 |
1,261 |
$4K |
| 82962 |
|
1,617 |
1,348 |
$3K |
| 36416 |
|
705 |
590 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
96 |
93 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
15 |
$1K |
| 90734 |
|
105 |
69 |
$1K |
| 90686 |
|
125 |
120 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
252 |
211 |
$1K |
| 0012A |
|
24 |
24 |
$1K |
| 0011A |
|
23 |
20 |
$893.62 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
148 |
132 |
$880.21 |
| 90651 |
|
45 |
45 |
$751.95 |
| 90621 |
|
49 |
37 |
$498.92 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31 |
26 |
$399.13 |
| 90649 |
|
17 |
14 |
$397.60 |
| 90620 |
|
17 |
17 |
$284.07 |
| 90619 |
|
16 |
16 |
$267.36 |
| 81025 |
|
15 |
14 |
$77.55 |
| 82043 |
|
13 |
12 |
$49.51 |
| 3077F |
|
19 |
18 |
$0.00 |
| 3008F |
|
15 |
15 |
$0.00 |