| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
118 |
114 |
$0.00 |
| 90645 |
|
14 |
14 |
$0.00 |
| 90723 |
|
19 |
18 |
$0.00 |
| 92551 |
|
52 |
52 |
$0.00 |
| 90680 |
|
16 |
16 |
$0.00 |
| 90633 |
|
13 |
12 |
$0.00 |
| 90669 |
|
22 |
21 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
16 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
26 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
31 |
30 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
23 |
23 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
284 |
225 |
$0.00 |
| 99173 |
|
48 |
48 |
$0.00 |