| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,542 |
5,096 |
$309K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
722 |
697 |
$55K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
735 |
700 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
669 |
666 |
$51K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
171 |
169 |
$15K |
| 90723 |
|
303 |
302 |
$8K |
| 87428 |
|
128 |
128 |
$8K |
| 90686 |
|
508 |
507 |
$3K |
| 90670 |
|
461 |
460 |
$3K |
| 90648 |
|
358 |
358 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
121 |
117 |
$2K |
| 99188 |
|
52 |
52 |
$805.39 |
| 83655 |
|
71 |
71 |
$691.81 |
| 90647 |
|
95 |
93 |
$502.90 |
| 90681 |
|
79 |
79 |
$422.65 |
| 90656 |
|
38 |
38 |
$282.45 |
| 90677 |
|
32 |
32 |
$258.24 |
| 90633 |
|
38 |
38 |
$203.30 |
| 87807 |
|
16 |
16 |
$167.68 |
| 85018 |
|
77 |
77 |
$144.81 |
| 90671 |
|
12 |
12 |
$96.84 |