| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
575 |
551 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
133 |
126 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
106 |
104 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
30 |
28 |
$2K |
| 90686 |
|
107 |
107 |
$1K |
| 90670 |
|
68 |
68 |
$804.52 |
| 90723 |
|
26 |
26 |
$587.70 |
| 90680 |
|
25 |
25 |
$302.90 |
| 90647 |
|
25 |
25 |
$299.75 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$193.02 |
| 96161 |
|
29 |
27 |
$79.59 |