| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
437 |
420 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
235 |
233 |
$22K |
| 92551 |
|
489 |
476 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
229 |
223 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
186 |
184 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
128 |
124 |
$13K |
| 99173 |
|
420 |
408 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
173 |
167 |
$6K |
| 90670 |
|
222 |
217 |
$3K |
| 90723 |
|
131 |
130 |
$3K |
| 90648 |
|
192 |
187 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$1K |
| 90680 |
|
84 |
81 |
$870.31 |
| 90633 |
|
27 |
27 |
$468.88 |
| 90686 |
|
30 |
29 |
$410.01 |
| 90710 |
|
16 |
16 |
$336.00 |
| 90734 |
|
24 |
24 |
$310.70 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$299.50 |
| 90696 |
|
13 |
13 |
$273.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$236.25 |
| 90651 |
|
17 |
17 |
$123.70 |