| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,835 |
1,626 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
254 |
248 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
259 |
255 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
118 |
118 |
$3K |
| 92551 |
|
559 |
556 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
76 |
73 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
38 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$890.72 |
| 85018 |
|
279 |
279 |
$398.11 |
| 90670 |
|
86 |
86 |
$351.00 |
| 90686 |
|
215 |
215 |
$300.49 |
| 90698 |
|
44 |
44 |
$225.00 |
| 90680 |
|
36 |
36 |
$189.00 |
| 90744 |
|
34 |
34 |
$180.00 |
| 86580 |
|
37 |
37 |
$99.86 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$53.98 |
| 90651 |
|
12 |
12 |
$36.00 |
| 99173 |
|
232 |
232 |
$28.10 |
| 96160 |
|
262 |
261 |
$8.00 |