| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,518 |
3,175 |
$222K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,453 |
1,390 |
$130K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
425 |
420 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
302 |
294 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
210 |
208 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
443 |
433 |
$6K |
| 90686 |
|
431 |
425 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
48 |
48 |
$4K |
| 90670 |
|
204 |
198 |
$2K |
| 90698 |
|
77 |
76 |
$966.70 |
| 90685 |
|
32 |
32 |
$501.40 |
| 90680 |
|
26 |
25 |
$287.73 |
| 90651 |
|
35 |
35 |
$275.18 |
| 90734 |
|
20 |
20 |
$197.52 |
| 90715 |
|
12 |
12 |
$118.32 |