| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,795 |
1,729 |
$85K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
144 |
144 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
293 |
285 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
31 |
31 |
$2K |
| 90686 |
|
193 |
193 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$920.21 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
25 |
$853.12 |
| 87081 |
|
38 |
38 |
$353.49 |
| 90723 |
|
12 |
12 |
$258.36 |
| 90670 |
|
13 |
13 |
$84.92 |