| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,002 |
6,503 |
$531K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,612 |
3,478 |
$363K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,823 |
1,803 |
$220K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,481 |
1,466 |
$177K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,147 |
1,106 |
$135K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
708 |
702 |
$86K |
| 90698 |
|
901 |
890 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,284 |
2,191 |
$37K |
| 87428 |
|
648 |
628 |
$28K |
| 90686 |
|
1,319 |
1,302 |
$11K |
| 90707 |
|
323 |
322 |
$8K |
| 90670 |
|
843 |
831 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
343 |
164 |
$5K |
| 90700 |
|
174 |
172 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
123 |
122 |
$4K |
| 90716 |
|
338 |
337 |
$3K |
| 90633 |
|
315 |
311 |
$3K |
| 87807 |
|
191 |
186 |
$3K |
| 99072 |
|
339 |
315 |
$3K |
| 90680 |
|
306 |
299 |
$2K |
| 90744 |
|
266 |
262 |
$2K |
| 90715 |
|
75 |
74 |
$2K |
| 90677 |
|
143 |
141 |
$2K |
| 90651 |
|
128 |
128 |
$1K |
| 90656 |
|
101 |
101 |
$1K |
| 90619 |
|
79 |
79 |
$859.16 |
| 90713 |
|
87 |
87 |
$810.89 |
| 90734 |
|
87 |
87 |
$679.27 |
| 90710 |
|
12 |
12 |
$534.24 |
| 0071A |
|
15 |
15 |
$359.20 |
| 90621 |
|
14 |
14 |
$150.02 |
| 81002 |
|
25 |
25 |
$88.98 |
| 91307 |
|
12 |
12 |
$0.00 |