| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
229 |
226 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
219 |
214 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
73 |
70 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
58 |
57 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
25 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
57 |
56 |
$781.62 |
| 90670 |
|
28 |
28 |
$629.90 |
| 90686 |
|
49 |
49 |
$607.29 |
| 90648 |
|
27 |
27 |
$368.46 |
| 90651 |
|
12 |
12 |
$311.99 |
| 90723 |
|
14 |
14 |
$222.50 |
| 90633 |
|
19 |
16 |
$182.60 |