| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,488 |
1,310 |
$55K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
563 |
529 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
278 |
270 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
275 |
259 |
$15K |
| 90723 |
|
249 |
244 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
55 |
55 |
$3K |
| 90670 |
|
370 |
364 |
$2K |
| 92551 |
|
55 |
55 |
$1K |
| 90686 |
|
274 |
263 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$832.57 |
| 90647 |
|
145 |
142 |
$742.95 |
| 90681 |
|
98 |
96 |
$501.49 |
| 99051 |
|
30 |
27 |
$301.31 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$192.26 |
| 83655 |
|
13 |
12 |
$143.52 |
| 85018 |
|
13 |
12 |
$28.08 |