| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,167 |
1,104 |
$60K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
308 |
298 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
297 |
292 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
255 |
247 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
55 |
54 |
$5K |
| 90686 |
|
320 |
320 |
$2K |
| 90723 |
|
50 |
50 |
$1K |
| 90670 |
|
119 |
119 |
$845.58 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39 |
38 |
$685.60 |
| 99188 |
|
17 |
17 |
$326.25 |
| 90647 |
|
28 |
28 |
$204.02 |
| 90651 |
|
28 |
27 |
$195.53 |
| 90633 |
|
12 |
12 |
$85.16 |