| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,560 |
1,339 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
784 |
621 |
$32K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
119 |
108 |
$6K |
| 90686 |
|
100 |
93 |
$863.17 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$676.92 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
13 |
$676.92 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
12 |
$620.51 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
216 |
79 |
$560.25 |
| 90670 |
|
55 |
52 |
$449.32 |
| 90688 |
|
49 |
48 |
$420.64 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
169 |
94 |
$141.57 |
| 90723 |
|
14 |
12 |
$95.60 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
12 |
12 |
$6.14 |