| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
271 |
266 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
92 |
91 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
27 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$811.50 |
| 96160 |
|
77 |
77 |
$261.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$69.38 |
| 99173 |
|
15 |
15 |
$38.20 |
| 83655 |
|
33 |
33 |
$27.22 |
| 3078F |
|
299 |
294 |
$0.00 |
| 3008F |
|
74 |
73 |
$0.00 |
| 3074F |
|
325 |
320 |
$0.00 |
| 1111F |
|
123 |
123 |
$0.00 |