| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,117 |
1,849 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
900 |
786 |
$66K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
128 |
113 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
86 |
80 |
$7K |
| 90686 |
|
466 |
430 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
30 |
24 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$1K |
| 90656 |
|
43 |
43 |
$763.42 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
15 |
15 |
$641.27 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
38 |
30 |
$600.01 |
| 90677 |
|
15 |
13 |
$547.76 |
| 90648 |
|
27 |
25 |
$451.17 |
| 90670 |
|
12 |
12 |
$200.52 |