| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,072 |
1,008 |
$122K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,173 |
1,145 |
$114K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
759 |
741 |
$107K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
695 |
689 |
$86K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
452 |
445 |
$55K |
| 83655 |
|
207 |
204 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
111 |
109 |
$9K |
| 85018 |
|
242 |
241 |
$3K |
| 99383 |
|
17 |
15 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
47 |
47 |
$1K |
| 87276 |
|
25 |
25 |
$900.00 |
| 87275 |
|
25 |
25 |
$900.00 |