| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
274 |
256 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
127 |
119 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
41 |
41 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
26 |
$2K |
| 99188 |
|
16 |
16 |
$316.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
29 |
$200.97 |
| 92551 |
|
62 |
62 |
$26.38 |
| 90686 |
|
14 |
14 |
$0.00 |
| 99173 |
|
49 |
49 |
$0.00 |
| 90670 |
|
17 |
17 |
$0.00 |