| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,544 |
1,492 |
$54K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
195 |
194 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
116 |
116 |
$10K |
| 87428 |
|
155 |
154 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
42 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
26 |
$2K |
| 96160 |
|
724 |
723 |
$2K |
| 92551 |
|
568 |
567 |
$2K |
| 99173 |
|
565 |
564 |
$1K |
| 94760 |
|
496 |
482 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
113 |
113 |
$828.66 |
| 90686 |
|
81 |
66 |
$583.00 |
| 87807 |
|
12 |
12 |
$162.48 |
| 90648 |
|
14 |
14 |
$154.00 |
| 96161 |
|
13 |
13 |
$45.96 |
| 96127 |
|
54 |
54 |
$35.20 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
25 |
25 |
$0.00 |