| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,868 |
2,362 |
$205K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,180 |
1,131 |
$91K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,218 |
1,083 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,810 |
1,658 |
$82K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
403 |
394 |
$31K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
804 |
740 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
310 |
208 |
$7K |
| 90670 |
|
754 |
725 |
$5K |
| 90680 |
|
633 |
563 |
$4K |
| 90698 |
|
610 |
541 |
$4K |
| 90633 |
|
377 |
358 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
191 |
161 |
$2K |
| 90744 |
|
312 |
297 |
$2K |
| 90707 |
|
254 |
243 |
$2K |
| 90700 |
|
229 |
217 |
$2K |
| 90716 |
|
231 |
220 |
$2K |
| 96127 |
|
95 |
82 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
52 |
45 |
$1K |
| 90686 |
|
141 |
133 |
$902.40 |
| 90685 |
|
89 |
68 |
$612.00 |
| 92551 |
|
29 |
26 |
$440.80 |
| 90647 |
|
62 |
59 |
$396.80 |
| 99173 |
|
45 |
42 |
$327.80 |