| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,764 |
3,240 |
$177K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,012 |
1,690 |
$143K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
786 |
748 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
318 |
302 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
204 |
193 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
383 |
257 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
77 |
70 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
102 |
98 |
$2K |
| 96127 |
|
101 |
89 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
41 |
$985.68 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
47 |
45 |
$722.20 |
| 90734 |
|
37 |
25 |
$391.45 |
| 90715 |
|
15 |
12 |
$295.41 |
| 90670 |
|
14 |
14 |
$89.60 |
| 3725F |
|
114 |
110 |
$0.00 |
| 3008F |
|
139 |
134 |
$0.00 |