| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,955 |
9,047 |
$519K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,565 |
3,004 |
$247K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
518 |
432 |
$43K |
| 92551 |
|
1,441 |
1,196 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
140 |
121 |
$10K |
| 99173 |
|
1,351 |
1,135 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
551 |
496 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
313 |
292 |
$8K |
| 81002 |
|
2,921 |
2,534 |
$7K |
| 85018 |
|
1,819 |
1,533 |
$4K |
| 36416 |
|
869 |
727 |
$3K |
| 82962 |
|
1,827 |
1,553 |
$3K |
| 90651 |
|
53 |
51 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
16 |
$1K |
| 90734 |
|
96 |
51 |
$1K |
| 90621 |
|
97 |
55 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
282 |
241 |
$1K |
| 90649 |
|
75 |
69 |
$1K |
| 90686 |
|
104 |
96 |
$978.07 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$828.65 |
| 0011A |
|
18 |
17 |
$741.58 |
| 0012A |
|
14 |
14 |
$589.96 |
| 97802 |
|
24 |
17 |
$540.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$518.70 |
| 90620 |
|
28 |
28 |
$467.88 |
| 90619 |
|
23 |
23 |
$384.33 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
65 |
54 |
$373.22 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
25 |
$333.39 |
| 81025 |
|
12 |
12 |
$30.96 |
| 3077F |
|
39 |
31 |
$0.00 |
| 3078F |
|
15 |
12 |
$0.00 |
| 3008F |
|
34 |
31 |
$0.00 |