| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,432 |
2,238 |
$116K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,477 |
1,241 |
$100K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
885 |
778 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
264 |
255 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
236 |
210 |
$18K |
| 90670 |
|
733 |
625 |
$8K |
| 90686 |
|
600 |
549 |
$6K |
| 90723 |
|
481 |
409 |
$5K |
| 90647 |
|
397 |
342 |
$5K |
| 99460 |
|
65 |
64 |
$4K |
| 90677 |
|
165 |
152 |
$4K |
| 90656 |
|
81 |
79 |
$1K |
| 90681 |
|
114 |
97 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 90633 |
|
64 |
64 |
$891.77 |
| 99174 |
|
90 |
76 |
$663.05 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
14 |
$614.41 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
14 |
$235.50 |
| 90734 |
|
12 |
12 |
$76.80 |