| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,929 |
1,757 |
$97K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
727 |
674 |
$60K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
484 |
475 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
229 |
219 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
445 |
436 |
$8K |
| 90723 |
|
258 |
257 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
126 |
122 |
$4K |
| 90686 |
|
413 |
412 |
$3K |
| 90670 |
|
376 |
372 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
31 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
102 |
55 |
$2K |
| 92552 |
|
94 |
93 |
$2K |
| 90647 |
|
200 |
197 |
$1K |
| 83655 |
|
83 |
82 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$867.14 |
| 90681 |
|
71 |
70 |
$498.82 |
| 85018 |
|
153 |
149 |
$446.36 |
| 85014 |
|
101 |
98 |
$282.69 |
| 90633 |
|
39 |
37 |
$267.14 |
| 99188 |
|
16 |
14 |
$256.36 |