| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$0.00 |
| 99173 |
|
343 |
340 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
45 |
43 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
67 |
66 |
$0.00 |
| 81003 |
|
13 |
13 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
48 |
48 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,771 |
3,928 |
$0.00 |
| 90686 |
|
253 |
236 |
$0.00 |
| 92551 |
|
362 |
359 |
$0.00 |
| 85018 |
|
530 |
525 |
$0.00 |
| 90688 |
|
40 |
39 |
$0.00 |