| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
660 |
612 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
300 |
292 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
71 |
70 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
53 |
53 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
40 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
37 |
37 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33 |
32 |
$1K |
| 90686 |
|
60 |
58 |
$938.17 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$179.80 |
| 85014 |
|
59 |
56 |
$143.39 |
| 99173 |
|
110 |
109 |
$133.46 |
| 90688 |
|
19 |
19 |
$113.24 |
| 90633 |
|
12 |
12 |
$71.52 |
| 90670 |
|
12 |
12 |
$65.56 |
| 94150 |
|
26 |
26 |
$0.00 |