| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
751 |
692 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
224 |
212 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
179 |
178 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
120 |
119 |
$10K |
| 90670 |
|
140 |
138 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
28 |
$2K |
| 92551 |
|
176 |
161 |
$2K |
| 90698 |
|
80 |
78 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
81 |
76 |
$1K |
| 90680 |
|
45 |
44 |
$738.83 |
| 90686 |
|
61 |
50 |
$570.69 |
| 90633 |
|
38 |
38 |
$477.01 |
| 99173 |
|
197 |
182 |
$440.37 |
| 83655 |
|
28 |
27 |
$425.43 |
| 90685 |
|
34 |
33 |
$384.96 |
| 96161 |
|
61 |
60 |
$180.00 |
| 90744 |
|
12 |
12 |
$135.85 |
| 99177 |
|
31 |
31 |
$127.03 |
| 85018 |
|
15 |
15 |
$43.20 |
| 3008F |
|
77 |
63 |
$0.00 |