| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,692 |
4,210 |
$244K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,606 |
1,567 |
$111K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,173 |
1,140 |
$84K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,168 |
1,099 |
$71K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,034 |
1,850 |
$55K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
450 |
435 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,298 |
1,259 |
$16K |
| 90698 |
|
471 |
456 |
$11K |
| 90670 |
|
703 |
680 |
$3K |
| 90686 |
|
457 |
456 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
225 |
115 |
$3K |
| 90680 |
|
367 |
357 |
$2K |
| 90688 |
|
277 |
276 |
$1K |
| 90700 |
|
81 |
81 |
$1K |
| 90707 |
|
97 |
87 |
$734.00 |
| 90656 |
|
72 |
72 |
$581.04 |
| 90744 |
|
93 |
93 |
$460.70 |
| 90685 |
|
91 |
91 |
$440.00 |
| 90716 |
|
83 |
73 |
$370.98 |
| 36415 |
Collection of venous blood by venipuncture |
39 |
39 |
$155.00 |
| 90651 |
|
13 |
13 |
$104.91 |
| 99050 |
|
18 |
18 |
$96.30 |
| 90734 |
|
16 |
13 |
$65.00 |