| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,716 |
1,451 |
$131K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
983 |
799 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
20 |
17 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
12 |
$204.10 |
| 3078F |
|
335 |
297 |
$0.00 |
| 1160F |
|
459 |
404 |
$0.00 |
| 1159F |
|
314 |
278 |
$0.00 |
| 3725F |
|
15 |
13 |
$0.00 |
| 4004F |
|
18 |
16 |
$0.00 |
| 3008F |
|
458 |
400 |
$0.00 |
| 1036F |
|
528 |
474 |
$0.00 |
| 3074F |
|
367 |
329 |
$0.00 |
| 3079F |
|
14 |
13 |
$0.00 |