| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,806 |
1,465 |
$125K |
| 90688 |
|
494 |
383 |
$7K |
| 90686 |
|
616 |
459 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64 |
36 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
92 |
73 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
41 |
$3K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
148 |
136 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
263 |
186 |
$2K |
| 0071A |
|
50 |
50 |
$2K |
| 0072A |
|
49 |
48 |
$2K |
| 92551 |
|
197 |
169 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
327 |
242 |
$1K |
| 90658 |
|
47 |
47 |
$874.56 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
45 |
$711.44 |
| 90656 |
|
28 |
28 |
$488.88 |
| 99177 |
|
92 |
87 |
$443.52 |
| 96127 |
|
199 |
150 |
$357.96 |
| 99173 |
|
204 |
148 |
$132.60 |
| 87070 |
|
29 |
17 |
$42.30 |
| 99072 |
|
970 |
798 |
$0.00 |
| 99000 |
|
148 |
117 |
$0.00 |