| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,007 |
3,539 |
$227K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
911 |
841 |
$72K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
763 |
733 |
$60K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
637 |
604 |
$46K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
360 |
351 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
455 |
416 |
$14K |
| 99442 |
|
212 |
196 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
84 |
80 |
$7K |
| 90686 |
|
374 |
303 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
40 |
40 |
$3K |
| 90734 |
|
93 |
90 |
$2K |
| 90619 |
|
57 |
56 |
$1K |
| 90700 |
|
126 |
125 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
70 |
66 |
$956.34 |
| 90651 |
|
27 |
25 |
$703.00 |
| 90713 |
|
40 |
40 |
$449.97 |
| 90715 |
|
25 |
25 |
$295.66 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
18 |
$249.48 |
| 90716 |
|
13 |
13 |
$143.00 |
| 90707 |
|
12 |
12 |
$132.00 |