| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,781 |
1,679 |
$87K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,017 |
873 |
$70K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
678 |
645 |
$54K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
500 |
456 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
97 |
97 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
87 |
76 |
$7K |
| 90686 |
|
449 |
411 |
$5K |
| 90670 |
|
345 |
295 |
$5K |
| 90677 |
|
125 |
122 |
$3K |
| 90723 |
|
219 |
197 |
$3K |
| 90647 |
|
163 |
143 |
$2K |
| 90681 |
|
69 |
57 |
$913.57 |
| 90633 |
|
46 |
38 |
$693.96 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
12 |
$643.36 |
| 90656 |
|
18 |
16 |
$300.78 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
16 |
$251.20 |