| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
696 |
663 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
603 |
578 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
645 |
624 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
282 |
277 |
$25K |
| 99252 |
|
419 |
408 |
$24K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
463 |
451 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
133 |
127 |
$12K |
| 90698 |
|
450 |
444 |
$11K |
| 90670 |
|
500 |
494 |
$7K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
186 |
147 |
$7K |
| 90686 |
|
341 |
337 |
$6K |
| 90680 |
|
330 |
325 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
41 |
$4K |
| 90744 |
|
159 |
155 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
42 |
$717.88 |
| 92587 |
|
13 |
13 |
$490.10 |
| 83655 |
|
36 |
36 |
$473.31 |
| 90633 |
|
12 |
12 |
$166.84 |
| 96161 |
|
12 |
12 |
$34.12 |