| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,680 |
1,375 |
$119K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,077 |
674 |
$74K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,107 |
839 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
116 |
81 |
$9K |
| 92587 |
|
630 |
484 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
13 |
$2K |
| 99173 |
|
234 |
191 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
18 |
18 |
$1K |
| 81002 |
|
225 |
174 |
$582.40 |
| 94760 |
|
18 |
13 |
$2.20 |
| 3210F |
|
58 |
55 |
$0.00 |