| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,147 |
4,481 |
$300K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,139 |
1,084 |
$85K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,112 |
1,056 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
953 |
882 |
$78K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
550 |
476 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
396 |
355 |
$30K |
| 92551 |
|
2,897 |
2,702 |
$27K |
| 90649 |
|
209 |
168 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
946 |
462 |
$12K |
| 90670 |
|
389 |
357 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
309 |
248 |
$9K |
| 99173 |
|
2,899 |
2,704 |
$7K |
| 90686 |
|
533 |
421 |
$5K |
| 99188 |
|
244 |
239 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
293 |
279 |
$4K |
| 90734 |
|
107 |
104 |
$3K |
| 90633 |
|
236 |
220 |
$3K |
| 99384 |
|
18 |
17 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 90671 |
|
18 |
14 |
$1K |
| 90680 |
|
87 |
79 |
$1K |
| 90648 |
|
98 |
85 |
$878.86 |
| 90710 |
|
12 |
12 |
$789.55 |
| 99421 |
|
61 |
55 |
$557.03 |
| 90715 |
|
30 |
30 |
$490.93 |
| 90674 |
|
32 |
31 |
$452.02 |
| 90723 |
|
13 |
13 |
$133.65 |