| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,050 |
629 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
658 |
355 |
$42K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
158 |
95 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
104 |
61 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
115 |
65 |
$1K |
| 99000 |
|
52 |
44 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
21 |
14 |
$991.47 |
| 90734 |
|
27 |
13 |
$792.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34 |
34 |
$532.15 |
| 36415 |
Collection of venous blood by venipuncture |
188 |
108 |
$164.80 |
| 3008F |
|
999 |
538 |
$0.00 |
| 3074F |
|
625 |
341 |
$0.00 |
| 3075F |
|
26 |
14 |
$0.00 |