| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,884 |
4,638 |
$233K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,037 |
981 |
$66K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
810 |
793 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
582 |
517 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
309 |
304 |
$23K |
| 99173 |
|
356 |
347 |
$13K |
| 92587 |
|
239 |
235 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
345 |
320 |
$4K |
| 92567 |
|
237 |
201 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
29 |
$3K |
| 99381 |
|
12 |
12 |
$628.64 |