| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,021 |
1,637 |
$92K |
| 87428 |
|
228 |
208 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
85 |
79 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
39 |
27 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
87 |
85 |
$1K |
| 87807 |
|
104 |
95 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$898.35 |
| 90686 |
|
52 |
36 |
$644.41 |
| 90648 |
|
15 |
13 |
$182.24 |
| 90670 |
|
15 |
13 |
$182.24 |
| 90723 |
|
14 |
12 |
$169.68 |