| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,349 |
2,214 |
$108K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,343 |
1,262 |
$91K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
526 |
523 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
480 |
471 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
186 |
186 |
$15K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
59 |
59 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
32 |
$3K |
| 90670 |
|
434 |
433 |
$3K |
| 90698 |
|
384 |
384 |
$3K |
| 90680 |
|
293 |
293 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
40 |
$1K |
| 90744 |
|
197 |
197 |
$1K |
| 90633 |
|
161 |
161 |
$953.60 |
| 99381 |
|
12 |
12 |
$948.79 |
| 81002 |
|
219 |
215 |
$598.85 |
| 90685 |
|
75 |
75 |
$447.00 |
| 90688 |
|
70 |
70 |
$417.20 |
| 90651 |
|
54 |
54 |
$321.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$162.36 |
| 90734 |
|
24 |
24 |
$143.04 |
| 99152 |
|
12 |
12 |
$87.12 |
| 90716 |
|
13 |
13 |
$77.48 |
| 90707 |
|
13 |
13 |
$77.48 |