| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
646 |
565 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
350 |
320 |
$37K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
294 |
294 |
$28K |
| 87631 |
|
242 |
226 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
76 |
75 |
$10K |
| 99442 |
|
118 |
112 |
$9K |
| 99051 |
|
941 |
853 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
155 |
146 |
$3K |
| 99441 |
|
47 |
46 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
476 |
446 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
115 |
114 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
12 |
$645.32 |
| 90461 |
|
24 |
24 |
$58.86 |
| 94760 |
|
249 |
235 |
$0.00 |
| 90661 |
|
16 |
16 |
$0.00 |