| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,508 |
2,059 |
$164K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,147 |
1,723 |
$96K |
| 90686 |
|
424 |
363 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
63 |
54 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
20 |
20 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
42 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
178 |
166 |
$956.03 |
| 87428 |
|
15 |
14 |
$955.13 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
58 |
45 |
$682.56 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
27 |
$439.76 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
26 |
$422.55 |
| 81003 |
|
82 |
64 |
$170.04 |
| 90651 |
|
19 |
19 |
$121.60 |
| 90734 |
|
17 |
17 |
$108.80 |
| 99406 |
|
12 |
12 |
$79.09 |