| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
441 |
378 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
219 |
170 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
130 |
110 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
48 |
36 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
51 |
29 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
54 |
42 |
$4K |
| 99383 |
|
16 |
13 |
$2K |
| 90656 |
|
70 |
59 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
26 |
25 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
36 |
32 |
$896.35 |
| 83655 |
|
48 |
28 |
$567.71 |
| 90677 |
|
31 |
26 |
$530.59 |
| 90734 |
|
26 |
26 |
$434.46 |
| 90710 |
|
17 |
14 |
$284.07 |
| 90633 |
|
16 |
12 |
$267.36 |
| 90648 |
|
14 |
12 |
$233.94 |
| 90696 |
|
13 |
12 |
$217.23 |
| 85018 |
|
51 |
30 |
$118.32 |