| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
396 |
388 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
258 |
249 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
61 |
61 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
29 |
$3K |
| 96160 |
|
310 |
303 |
$965.72 |
| 99173 |
|
181 |
176 |
$811.60 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
17 |
17 |
$429.40 |
| 99177 |
|
42 |
42 |
$319.40 |
| 92551 |
|
72 |
72 |
$195.28 |
| 94760 |
|
36 |
34 |
$107.32 |
| 83655 |
|
77 |
77 |
$95.66 |
| 90656 |
|
12 |
12 |
$0.00 |