| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,232 |
3,612 |
$204K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,279 |
1,134 |
$99K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
865 |
722 |
$63K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
757 |
684 |
$58K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
344 |
304 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
272 |
238 |
$23K |
| 90686 |
|
1,110 |
1,016 |
$12K |
| 90670 |
|
362 |
316 |
$4K |
| 90633 |
|
271 |
234 |
$4K |
| 90647 |
|
224 |
188 |
$3K |
| 90677 |
|
155 |
142 |
$3K |
| 90656 |
|
118 |
113 |
$2K |
| 90723 |
|
132 |
103 |
$2K |
| 99174 |
|
150 |
128 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
67 |
66 |
$1K |
| 90651 |
|
55 |
43 |
$575.63 |
| 90734 |
|
38 |
27 |
$506.83 |
| 90710 |
|
42 |
39 |
$423.45 |
| 90700 |
|
13 |
13 |
$217.23 |
| 85018 |
|
26 |
25 |
$60.32 |