| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
940 |
774 |
$38K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
148 |
141 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
111 |
109 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
22 |
22 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
25 |
$1K |
| 99381 |
|
13 |
12 |
$872.24 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
65 |
61 |
$759.24 |
| 92587 |
|
20 |
20 |
$693.36 |
| 99173 |
|
33 |
33 |
$672.16 |
| 92567 |
|
38 |
37 |
$543.46 |