| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
369 |
353 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
317 |
307 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
108 |
105 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
43 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
26 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
121 |
116 |
$2K |
| 90686 |
|
116 |
116 |
$1K |
| 90648 |
|
12 |
12 |
$134.75 |
| 90670 |
|
12 |
12 |
$134.75 |
| 90633 |
|
12 |
12 |
$126.50 |
| 92551 |
|
12 |
12 |
$115.28 |
| 96127 |
|
30 |
27 |
$100.64 |
| 85018 |
|
26 |
25 |
$67.30 |
| 99173 |
|
15 |
15 |
$36.26 |
| 36416 |
|
40 |
39 |
$14.30 |