| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
353 |
314 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
436 |
408 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
225 |
219 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
241 |
227 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
136 |
131 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
223 |
207 |
$6K |
| 90723 |
|
217 |
213 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
40 |
40 |
$3K |
| 90710 |
|
92 |
92 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
107 |
106 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
124 |
120 |
$2K |
| 90670 |
|
265 |
260 |
$1K |
| 90648 |
|
247 |
242 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
27 |
27 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
15 |
$674.70 |
| 83655 |
|
62 |
62 |
$600.16 |
| 90686 |
|
105 |
104 |
$545.70 |
| 90696 |
|
19 |
19 |
$406.60 |
| 90681 |
|
76 |
74 |
$390.55 |
| 90685 |
|
51 |
51 |
$272.85 |
| 90633 |
|
44 |
44 |
$235.40 |
| 81003 |
|
75 |
69 |
$129.60 |
| 90734 |
|
12 |
12 |
$64.20 |
| 85018 |
|
29 |
29 |
$54.81 |