| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,692 |
5,533 |
$427K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,400 |
3,597 |
$329K |
| 99205 |
Prolong outpt/office vis |
471 |
367 |
$45K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
93 |
75 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
670 |
584 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
266 |
225 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
142 |
111 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
61 |
57 |
$4K |
| 86580 |
|
553 |
437 |
$2K |
| 92015 |
Determination of refractive state |
47 |
41 |
$342.00 |
| 81002 |
|
65 |
49 |
$145.44 |