| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
419 |
396 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
222 |
214 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
18 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$1K |
| 96127 |
|
98 |
95 |
$196.85 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19 |
18 |
$124.74 |
| 92551 |
|
25 |
25 |
$79.21 |
| 99173 |
|
14 |
14 |
$19.81 |
| 96160 |
|
36 |
36 |
$13.41 |
| 3078F |
|
259 |
256 |
$0.00 |
| 3074F |
|
261 |
258 |
$0.00 |
| 3008F |
|
434 |
405 |
$0.00 |
| 90686 |
|
39 |
39 |
$0.00 |