| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
394 |
291 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
60 |
48 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
36 |
30 |
$2K |
| 92551 |
|
150 |
119 |
$2K |
| 99173 |
|
95 |
75 |
$1K |
| 3008F |
|
150 |
118 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
13 |
$800.16 |
| 99000 |
|
143 |
117 |
$488.24 |
| 90686 |
|
146 |
111 |
$421.20 |
| 81001 |
|
93 |
82 |
$382.50 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
12 |
$271.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$167.96 |