| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,924 |
3,437 |
$177K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,421 |
1,283 |
$96K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
636 |
595 |
$49K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
472 |
441 |
$37K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,506 |
1,391 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
412 |
397 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
211 |
202 |
$18K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
164 |
157 |
$11K |
| 90686 |
|
807 |
780 |
$8K |
| 90670 |
|
284 |
272 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
45 |
42 |
$2K |
| 90698 |
|
240 |
222 |
$2K |
| 90734 |
|
57 |
55 |
$861.15 |
| 90656 |
|
39 |
39 |
$633.90 |
| 90710 |
|
18 |
17 |
$520.02 |
| 90680 |
|
40 |
36 |
$256.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
17 |
$234.44 |
| 90715 |
|
14 |
14 |
$233.94 |
| 90696 |
|
18 |
17 |
$216.60 |
| 90685 |
|
16 |
16 |
$123.60 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
12 |
$0.00 |