| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,309 |
2,232 |
$100K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,153 |
817 |
$49K |
| 99223 |
Prolong inpt eval add15 m |
28 |
28 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
52 |
26 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
37 |
32 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17 |
14 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
39 |
28 |
$795.15 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
93 |
72 |
$785.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$759.50 |
| 87400 |
|
128 |
102 |
$421.60 |
| 81002 |
|
121 |
91 |
$254.80 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
537 |
446 |
$182.18 |
| 90686 |
|
14 |
12 |
$177.41 |