| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
323 |
285 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
98 |
97 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
91 |
91 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
75 |
72 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71 |
69 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
40 |
40 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
30 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
34 |
33 |
$707.04 |
| D9999 |
Unspecified adjunctive procedure, by report |
31 |
31 |
$606.76 |
| 85018 |
|
235 |
234 |
$581.12 |
| 36416 |
|
232 |
231 |
$575.38 |
| 81002 |
|
189 |
181 |
$533.88 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34 |
33 |
$462.76 |
| 90670 |
|
51 |
50 |
$306.64 |
| 90648 |
|
32 |
32 |
$196.48 |
| 90710 |
|
28 |
27 |
$165.60 |
| 90680 |
|
26 |
26 |
$159.64 |
| 90715 |
|
25 |
25 |
$152.96 |
| 90633 |
|
15 |
14 |
$85.78 |
| 90651 |
|
13 |
13 |
$79.64 |
| 90734 |
|
12 |
12 |
$73.50 |
| 99173 |
|
174 |
173 |
$11.33 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
17 |
16 |
$4.53 |