| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
253 |
198 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
39 |
39 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$2K |
| 96127 |
|
58 |
57 |
$832.20 |
| 81002 |
|
259 |
208 |
$657.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
32 |
$518.10 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
28 |
27 |
$466.17 |
| 99173 |
|
67 |
58 |
$454.45 |