| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
366 |
320 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
57 |
37 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
59 |
44 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
38 |
25 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
58 |
55 |
$3K |
| 96127 |
|
100 |
70 |
$2K |
| 92552 |
|
103 |
76 |
$2K |
| 95930 |
|
19 |
15 |
$845.13 |
| 99173 |
|
88 |
67 |
$640.70 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
17 |
13 |
$598.73 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
15 |
$374.80 |
| 36416 |
|
48 |
31 |
$180.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$157.00 |
| 85018 |
|
60 |
37 |
$133.40 |
| 99072 |
|
24 |
21 |
$0.00 |