| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,211 |
1,725 |
$123K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
197 |
155 |
$16K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
267 |
265 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
117 |
86 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
109 |
85 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
73 |
63 |
$7K |
| 0072A |
|
141 |
138 |
$6K |
| 0071A |
|
113 |
113 |
$5K |
| 90686 |
|
118 |
118 |
$2K |
| 0001A |
|
44 |
44 |
$2K |
| 0002A |
|
32 |
32 |
$1K |
| 90656 |
|
46 |
46 |
$939.62 |
| 90710 |
|
22 |
13 |
$402.69 |
| 90696 |
|
14 |
13 |
$255.65 |
| 90734 |
|
13 |
13 |
$220.56 |