| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,629 |
3,407 |
$182K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,613 |
1,605 |
$150K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,453 |
1,439 |
$134K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,265 |
1,235 |
$114K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
991 |
985 |
$92K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
585 |
573 |
$44K |
| 90698 |
|
1,045 |
1,033 |
$36K |
| 90686 |
|
1,937 |
1,913 |
$13K |
| 99381 |
|
112 |
112 |
$10K |
| 90670 |
|
1,111 |
1,099 |
$8K |
| 99188 |
|
312 |
310 |
$6K |
| 90680 |
|
774 |
763 |
$5K |
| 90710 |
|
167 |
161 |
$5K |
| 90651 |
|
613 |
609 |
$4K |
| 90696 |
|
152 |
146 |
$4K |
| 90633 |
|
578 |
570 |
$4K |
| 90734 |
|
464 |
459 |
$3K |
| 90715 |
|
140 |
139 |
$3K |
| 90744 |
|
421 |
418 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
109 |
108 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
82 |
46 |
$2K |
| 90707 |
|
72 |
72 |
$2K |
| 90716 |
|
110 |
109 |
$771.91 |
| 90685 |
|
70 |
70 |
$500.94 |
| 90620 |
|
68 |
66 |
$444.13 |
| 90621 |
|
35 |
33 |
$216.42 |
| 90658 |
|
13 |
13 |
$92.43 |