| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
893 |
829 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
536 |
515 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
215 |
202 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
135 |
135 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
109 |
109 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
64 |
64 |
$3K |
| 92551 |
|
302 |
302 |
$1K |
| 99173 |
|
334 |
332 |
$1K |
| 90680 |
|
53 |
53 |
$583.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
84 |
83 |
$571.90 |
| 96161 |
|
141 |
136 |
$540.99 |
| 96127 |
|
198 |
198 |
$370.18 |
| 96160 |
|
84 |
84 |
$15.32 |
| 90656 |
|
18 |
18 |
$0.00 |
| 90686 |
|
121 |
121 |
$0.00 |
| 90697 |
|
74 |
74 |
$0.00 |
| 90677 |
|
92 |
92 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
44 |
44 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |