| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
556 |
480 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
203 |
188 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
54 |
54 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
50 |
48 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
35 |
34 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$3K |
| 90686 |
|
78 |
72 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
26 |
$1K |
| 90670 |
|
31 |
30 |
$651.84 |
| 90723 |
|
13 |
12 |
$302.64 |
| 90647 |
|
13 |
13 |
$232.80 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
73 |
69 |
$92.12 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
78 |
73 |
$91.98 |