| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,739 |
2,509 |
$144K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
494 |
461 |
$42K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
398 |
395 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
380 |
376 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
110 |
108 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
80 |
80 |
$7K |
| 90686 |
|
742 |
738 |
$5K |
| 90723 |
|
166 |
164 |
$4K |
| 90670 |
|
315 |
308 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
70 |
70 |
$1K |
| 90680 |
|
98 |
98 |
$725.09 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$704.05 |
| 90647 |
|
97 |
90 |
$657.36 |
| 90633 |
|
54 |
54 |
$390.54 |
| 90685 |
|
15 |
15 |
$109.90 |
| 90651 |
|
12 |
12 |
$89.37 |