| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,366 |
1,164 |
$55K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
591 |
550 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
253 |
249 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
266 |
236 |
$16K |
| 99460 |
|
14 |
12 |
$863.81 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
25 |
$463.40 |
| 90670 |
|
91 |
90 |
$445.00 |
| 87400 |
|
34 |
33 |
$436.87 |
| 90648 |
|
89 |
88 |
$435.00 |
| 90723 |
|
82 |
81 |
$400.00 |
| 90680 |
|
72 |
72 |
$355.00 |