| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,781 |
1,521 |
$326K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
332 |
326 |
$69K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
324 |
308 |
$67K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
368 |
364 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
251 |
234 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
165 |
155 |
$31K |
| 99383 |
|
182 |
180 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
132 |
127 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
92 |
90 |
$20K |
| 99384 |
|
92 |
92 |
$15K |
| 99382 |
|
109 |
105 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
52 |
51 |
$9K |
| 99381 |
|
25 |
25 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
43 |
34 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
91 |
72 |
$519.85 |
| 85018 |
|
321 |
261 |
$259.29 |
| 81003 |
|
179 |
144 |
$145.16 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
13 |
$104.23 |
| 83655 |
|
39 |
29 |
$93.60 |
| 90700 |
|
15 |
15 |
$0.00 |
| 90710 |
|
44 |
43 |
$0.00 |
| G9920 |
Screening performed and negative |
1,853 |
1,722 |
$0.00 |
| 90671 |
|
150 |
149 |
$0.00 |
| 90715 |
|
32 |
32 |
$0.00 |
| 90633 |
|
41 |
40 |
$0.00 |
| 90681 |
|
60 |
60 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
22 |
21 |
$0.00 |
| 90723 |
|
130 |
129 |
$0.00 |
| 90619 |
|
37 |
37 |
$0.00 |
| 90651 |
|
86 |
86 |
$0.00 |
| 90647 |
|
151 |
149 |
$0.00 |
| 90677 |
|
17 |
17 |
$0.00 |
| 90656 |
|
48 |
48 |
$0.00 |