| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,219 |
1,134 |
$50K |
| 92551 |
|
357 |
345 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
121 |
115 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
68 |
68 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
62 |
60 |
$4K |
| 90698 |
|
67 |
65 |
$2K |
| 90686 |
|
143 |
140 |
$817.92 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
13 |
$794.54 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$753.00 |
| 99051 |
|
33 |
32 |
$379.27 |
| 90670 |
|
58 |
54 |
$277.78 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$237.76 |
| 99173 |
|
13 |
13 |
$65.00 |
| 96161 |
|
15 |
14 |
$37.15 |