| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
630 |
498 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
296 |
262 |
$13K |
| 96127 |
|
276 |
177 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
24 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
21 |
16 |
$2K |
| 81002 |
|
392 |
341 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
38 |
$659.40 |
| 92551 |
|
41 |
17 |
$623.20 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$370.65 |
| 90688 |
|
19 |
12 |
$293.60 |
| 90686 |
|
15 |
15 |
$159.15 |