| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,653 |
4,181 |
$159K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,643 |
1,519 |
$108K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
765 |
735 |
$42K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
698 |
671 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
653 |
614 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
432 |
402 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
455 |
429 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
722 |
705 |
$9K |
| 90670 |
|
548 |
539 |
$5K |
| 87081 |
|
538 |
523 |
$5K |
| 90686 |
|
428 |
412 |
$4K |
| 90680 |
|
345 |
339 |
$3K |
| 90698 |
|
329 |
328 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
91 |
71 |
$2K |
| 90651 |
|
246 |
237 |
$2K |
| 90633 |
|
245 |
241 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
77 |
75 |
$2K |
| 90734 |
|
194 |
182 |
$2K |
| 90716 |
|
173 |
169 |
$2K |
| 90707 |
|
169 |
165 |
$2K |
| 85027 |
|
172 |
161 |
$1K |
| 90744 |
|
149 |
147 |
$1K |
| 90685 |
|
94 |
89 |
$831.72 |
| 90648 |
|
96 |
89 |
$831.72 |
| 90715 |
|
82 |
75 |
$774.72 |
| 90688 |
|
84 |
79 |
$736.12 |
| 83655 |
|
39 |
38 |
$655.14 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
17 |
14 |
$651.20 |
| 71020 |
|
16 |
14 |
$551.00 |
| 90723 |
|
54 |
49 |
$468.44 |
| 87807 |
|
33 |
31 |
$390.30 |
| 90700 |
|
35 |
34 |
$315.48 |
| 90621 |
|
35 |
32 |
$305.92 |
| 90696 |
|
25 |
25 |
$239.00 |
| 84439 |
|
13 |
12 |
$154.56 |