| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,973 |
4,999 |
$460K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
579 |
541 |
$82K |
| 92551 |
|
1,915 |
1,875 |
$80K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
522 |
510 |
$45K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
444 |
432 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
474 |
470 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
341 |
340 |
$30K |
| 81002 |
|
2,754 |
2,048 |
$14K |
| 99188 |
|
416 |
408 |
$10K |
| 81025 |
|
390 |
360 |
$3K |
| 99173 |
|
110 |
102 |
$2K |
| 99381 |
|
12 |
12 |
$500.60 |
| 82962 |
|
42 |
37 |
$395.70 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$345.67 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
12 |
$272.24 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$197.86 |
| 81003 |
|
56 |
36 |
$141.40 |
| G9920 |
Screening performed and negative |
86 |
83 |
$0.00 |