| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
686 |
543 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
144 |
130 |
$12K |
| 0071A |
|
114 |
111 |
$5K |
| 0072A |
|
79 |
79 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
119 |
102 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
28 |
25 |
$1K |
| 0001A |
|
23 |
23 |
$969.22 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$922.08 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$903.76 |
| 99000 |
|
12 |
12 |
$281.52 |