| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,905 |
1,802 |
$78K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
754 |
728 |
$49K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
359 |
359 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
256 |
256 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
152 |
152 |
$15K |
| 87631 |
|
83 |
83 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
84 |
84 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
695 |
677 |
$6K |
| 99188 |
|
121 |
121 |
$3K |
| 99173 |
|
736 |
736 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
492 |
490 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
55 |
52 |
$2K |
| 92552 |
|
385 |
385 |
$1K |
| 90670 |
|
122 |
122 |
$1K |
| 90686 |
|
224 |
224 |
$1K |
| 90697 |
|
63 |
63 |
$600.00 |
| 90680 |
|
61 |
61 |
$580.00 |
| 90633 |
|
24 |
24 |
$235.00 |
| 96127 |
|
170 |
170 |
$90.47 |
| 92551 |
|
66 |
66 |
$71.22 |
| 96160 |
|
200 |
200 |
$29.08 |
| 90651 |
|
13 |
13 |
$0.00 |
| 96161 |
|
87 |
87 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |
| 83655 |
|
13 |
13 |
$0.00 |