| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
961 |
824 |
$80K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
32 |
32 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
16 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
61 |
60 |
$734.73 |
| 81002 |
|
117 |
114 |
$314.36 |
| 85018 |
|
12 |
12 |
$24.60 |
| 99173 |
|
39 |
39 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |