| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,227 |
1,167 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
486 |
472 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
293 |
293 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
151 |
150 |
$11K |
| 90686 |
|
416 |
405 |
$2K |
| 90723 |
|
72 |
72 |
$2K |
| 90670 |
|
227 |
226 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
32 |
31 |
$527.22 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$472.56 |
| 90647 |
|
64 |
64 |
$379.17 |
| 90633 |
|
12 |
12 |
$75.42 |