| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,886 |
1,564 |
$272K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
326 |
315 |
$67K |
| 81003 |
|
848 |
635 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
82 |
78 |
$13K |
| 92551 |
|
212 |
202 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
43 |
$6K |
| 99173 |
|
100 |
99 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
13 |
$3K |
| 99385 |
|
14 |
12 |
$3K |
| 99383 |
|
13 |
12 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$3K |
| 81025 |
|
57 |
52 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$889.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$655.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
12 |
$655.20 |
| 82962 |
|
31 |
28 |
$585.90 |