| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,244 |
1,191 |
$62K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
105 |
99 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
89 |
87 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$1K |
| 90686 |
|
138 |
138 |
$985.22 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
47 |
47 |
$838.84 |
| 90670 |
|
99 |
97 |
$691.43 |
| 90723 |
|
25 |
25 |
$538.25 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$305.79 |
| 90647 |
|
45 |
41 |
$293.89 |
| 87081 |
|
16 |
16 |
$137.77 |
| 90681 |
|
12 |
12 |
$86.00 |