| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
658 |
584 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
46 |
46 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
56 |
56 |
$798.87 |
| 92552 |
|
26 |
26 |
$696.26 |
| 90651 |
|
29 |
28 |
$307.15 |
| 90658 |
|
18 |
18 |
$235.96 |
| 99173 |
|
75 |
74 |
$186.48 |
| 90715 |
|
15 |
15 |
$158.95 |
| 36415 |
Collection of venous blood by venipuncture |
77 |
74 |
$158.73 |
| 85018 |
|
16 |
16 |
$43.20 |