| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,006 |
2,943 |
$271K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,154 |
1,090 |
$233K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
649 |
637 |
$184K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
921 |
904 |
$177K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
822 |
812 |
$174K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
790 |
784 |
$164K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
688 |
656 |
$88K |
| 92551 |
|
1,105 |
1,084 |
$25K |
| 99173 |
|
478 |
473 |
$13K |
| 99381 |
|
40 |
40 |
$10K |
| 85027 |
|
131 |
131 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
91 |
91 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
12 |
12 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
14 |
14 |
$1K |
| 82947 |
|
49 |
48 |
$857.99 |
| 81025 |
|
23 |
23 |
$595.70 |
| 90670 |
|
175 |
175 |
$109.42 |
| 90686 |
|
117 |
116 |
$19.13 |
| 90651 |
|
29 |
28 |
$0.27 |
| 90648 |
|
13 |
13 |
$0.13 |
| 90723 |
|
12 |
12 |
$0.12 |