| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,460 |
2,802 |
$159K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
920 |
780 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
854 |
778 |
$59K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
687 |
574 |
$48K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
570 |
469 |
$45K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
407 |
341 |
$35K |
| 90670 |
|
605 |
547 |
$6K |
| 90698 |
|
459 |
423 |
$3K |
| 90686 |
|
276 |
263 |
$2K |
| 90734 |
|
88 |
74 |
$2K |
| 90710 |
|
98 |
74 |
$2K |
| 90680 |
|
147 |
146 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
21 |
12 |
$957.22 |
| 90696 |
|
55 |
34 |
$827.63 |
| 90677 |
|
43 |
40 |
$711.81 |
| 90647 |
|
36 |
24 |
$614.92 |
| 90744 |
|
81 |
69 |
$512.00 |
| 96127 |
|
29 |
24 |
$454.06 |
| 90723 |
|
23 |
12 |
$402.70 |
| 90656 |
|
16 |
16 |
$351.22 |
| 90715 |
|
13 |
12 |
$76.80 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
14 |
$0.00 |