| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,813 |
5,345 |
$200K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
234 |
234 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
235 |
233 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
238 |
234 |
$6K |
| 92551 |
|
1,274 |
1,264 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
57 |
57 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
87 |
87 |
$5K |
| 99173 |
|
1,275 |
1,265 |
$4K |
| 99401 |
|
177 |
177 |
$3K |
| 80061 |
Lipid panel |
295 |
260 |
$776.27 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
25 |
$352.22 |
| 90686 |
|
28 |
28 |
$297.00 |
| 83655 |
|
208 |
193 |
$231.00 |
| 96127 |
|
403 |
403 |
$222.28 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
26 |
$176.19 |
| 90619 |
|
15 |
15 |
$165.00 |
| 96160 |
|
432 |
429 |
$8.70 |
| 3008F |
|
5,581 |
5,236 |
$0.00 |
| 1036F |
|
416 |
416 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
54 |
54 |
$0.00 |
| 3011F |
|
246 |
245 |
$0.00 |
| 3725F |
|
772 |
761 |
$0.00 |
| 4004F |
|
526 |
523 |
$0.00 |