| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
725 |
661 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
895 |
782 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
246 |
226 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
712 |
635 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
143 |
128 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
105 |
103 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
101 |
94 |
$5K |
| 99051 |
|
229 |
212 |
$5K |
| 92567 |
|
338 |
309 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
163 |
143 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
163 |
145 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
208 |
200 |
$2K |
| 80061 |
Lipid panel |
164 |
159 |
$2K |
| 96127 |
|
388 |
361 |
$1K |
| 83655 |
|
106 |
92 |
$1K |
| 81003 |
|
379 |
358 |
$828.88 |
| 85018 |
|
302 |
276 |
$668.93 |
| 99173 |
|
274 |
250 |
$517.08 |
| 85014 |
|
208 |
191 |
$448.56 |
| 36416 |
|
115 |
97 |
$247.29 |
| 99177 |
|
18 |
18 |
$142.22 |
| 88738 |
|
15 |
14 |
$41.81 |
| 94760 |
|
28 |
28 |
$0.00 |