| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,706 |
2,458 |
$118K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
758 |
742 |
$55K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
722 |
698 |
$51K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
509 |
502 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
468 |
452 |
$29K |
| 99223 |
Prolong inpt eval add15 m |
265 |
262 |
$29K |
| 90723 |
|
546 |
533 |
$16K |
| 92587 |
|
381 |
381 |
$13K |
| 99051 |
|
821 |
767 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
133 |
133 |
$9K |
| 90707 |
|
312 |
304 |
$6K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
160 |
120 |
$4K |
| 90670 |
|
673 |
658 |
$4K |
| 90648 |
|
664 |
650 |
$4K |
| 83655 |
|
181 |
178 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
87 |
79 |
$2K |
| 90633 |
|
395 |
381 |
$2K |
| 90681 |
|
323 |
318 |
$2K |
| 90716 |
|
310 |
302 |
$2K |
| 90686 |
|
299 |
288 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
93 |
89 |
$1K |
| 90700 |
|
78 |
78 |
$1K |
| 90696 |
|
48 |
42 |
$1K |
| 96161 |
|
365 |
354 |
$1K |
| 90651 |
|
163 |
163 |
$989.99 |
| 99384 |
|
12 |
12 |
$923.71 |
| 94010 |
|
35 |
35 |
$847.25 |
| 99383 |
|
12 |
12 |
$772.35 |
| 90715 |
|
37 |
37 |
$667.75 |
| 81002 |
|
141 |
134 |
$443.18 |
| D1206 |
Topical application of fluoride varnish |
22 |
22 |
$373.54 |
| 90734 |
|
55 |
55 |
$322.94 |
| 90688 |
|
48 |
48 |
$285.97 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
13 |
$224.32 |
| 94760 |
|
21 |
20 |
$66.35 |