| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,701 |
6,413 |
$404K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,542 |
1,522 |
$127K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,617 |
1,587 |
$122K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
868 |
857 |
$67K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,327 |
1,178 |
$49K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
185 |
180 |
$13K |
| 90688 |
|
645 |
601 |
$7K |
| 90686 |
|
618 |
616 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
456 |
446 |
$6K |
| 90700 |
|
435 |
430 |
$5K |
| 90649 |
|
162 |
160 |
$2K |
| 90713 |
|
143 |
143 |
$2K |
| 90670 |
|
142 |
140 |
$2K |
| 90648 |
|
142 |
138 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
74 |
37 |
$1K |
| 90656 |
|
91 |
91 |
$990.00 |
| 90687 |
|
94 |
89 |
$920.14 |
| 90734 |
|
63 |
63 |
$712.00 |
| 99000 |
|
147 |
144 |
$518.88 |
| 90633 |
|
15 |
13 |
$143.00 |
| 90685 |
|
13 |
13 |
$143.00 |
| 90715 |
|
13 |
13 |
$132.00 |
| 90619 |
|
12 |
12 |
$132.00 |