| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
842 |
780 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
92 |
91 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
88 |
83 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
46 |
44 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
42 |
$4K |
| 90686 |
|
187 |
179 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
56 |
53 |
$1K |
| 90723 |
|
24 |
24 |
$516.72 |
| 90715 |
|
12 |
12 |
$258.36 |
| 90670 |
|
24 |
24 |
$176.49 |
| 90734 |
|
14 |
14 |
$102.72 |
| 90647 |
|
12 |
12 |
$88.43 |
| 81003 |
|
12 |
12 |
$37.53 |