| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
445 |
415 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
215 |
208 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
156 |
152 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
82 |
81 |
$7K |
| 90670 |
|
124 |
123 |
$3K |
| 90686 |
|
144 |
144 |
$2K |
| 90723 |
|
105 |
104 |
$2K |
| 90648 |
|
108 |
107 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
23 |
23 |
$324.99 |
| 90681 |
|
12 |
12 |
$236.75 |
| 90633 |
|
13 |
13 |
$166.85 |