| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
542 |
525 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
396 |
379 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
62 |
62 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
46 |
45 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
38 |
38 |
$3K |
| 90651 |
|
26 |
26 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
90 |
87 |
$1K |
| 90670 |
|
27 |
27 |
$450.80 |
| 90686 |
|
18 |
18 |
$227.11 |
| 90723 |
|
13 |
13 |
$213.32 |
| 90633 |
|
13 |
13 |
$210.46 |
| 90648 |
|
16 |
16 |
$205.18 |
| 83655 |
|
12 |
12 |
$173.24 |
| 90715 |
|
13 |
13 |
$146.85 |
| 92551 |
|
13 |
12 |
$127.06 |
| 85018 |
|
12 |
12 |
$34.00 |
| 99173 |
|
13 |
12 |
$31.08 |
| 36416 |
|
25 |
24 |
$14.30 |