| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
66 |
55 |
$290.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
68 |
57 |
$203.24 |
| 96127 |
|
27 |
25 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
41 |
34 |
$0.00 |
| 92551 |
|
67 |
67 |
$0.00 |
| 99173 |
|
76 |
76 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
18 |
13 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
15 |
$0.00 |