| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
861 |
707 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,509 |
1,253 |
$64K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
279 |
242 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
195 |
164 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
225 |
167 |
$11K |
| 87428 |
|
38 |
30 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
52 |
45 |
$2K |
| 90686 |
|
113 |
91 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
80 |
65 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
32 |
27 |
$1K |
| 90656 |
|
36 |
36 |
$598.79 |
| 90633 |
|
26 |
13 |
$405.41 |
| 90670 |
|
18 |
14 |
$226.08 |
| 90651 |
|
13 |
13 |
$217.23 |
| 90696 |
|
13 |
13 |
$217.23 |
| 90734 |
|
13 |
13 |
$217.23 |
| 90715 |
|
13 |
13 |
$217.23 |
| 90710 |
|
12 |
12 |
$200.52 |
| 90648 |
|
13 |
12 |
$163.28 |