| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
851 |
800 |
$56K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
490 |
452 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
440 |
413 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
188 |
183 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
111 |
109 |
$10K |
| 90723 |
|
153 |
153 |
$3K |
| 90686 |
|
253 |
251 |
$2K |
| 90670 |
|
250 |
245 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
16 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 90647 |
|
83 |
81 |
$597.50 |
| 92558 |
|
50 |
50 |
$461.90 |
| S9083 |
Global fee urgent care centers |
334 |
325 |
$100.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
53 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
107 |
54 |
$0.00 |