| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,002 |
935 |
$55K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
569 |
539 |
$47K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
221 |
215 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
221 |
205 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
55 |
55 |
$5K |
| 90723 |
|
222 |
219 |
$5K |
| 90686 |
|
341 |
337 |
$3K |
| 90670 |
|
310 |
306 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
17 |
$1K |
| 90680 |
|
158 |
157 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
53 |
51 |
$984.11 |
| 90647 |
|
130 |
129 |
$948.49 |
| 99460 |
|
12 |
12 |
$916.11 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$704.05 |
| 90633 |
|
12 |
12 |
$90.87 |