| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,101 |
1,048 |
$74K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,011 |
984 |
$45K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
112 |
111 |
$11K |
| 99051 |
|
193 |
189 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
26 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
82 |
81 |
$1K |
| 87428 |
|
15 |
15 |
$848.85 |
| 90686 |
|
108 |
104 |
$262.00 |
| 92551 |
|
171 |
170 |
$196.14 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
99 |
99 |
$21.56 |
| 96127 |
|
13 |
13 |
$12.32 |
| 96160 |
|
13 |
13 |
$10.72 |
| G9920 |
Screening performed and negative |
151 |
151 |
$0.00 |
| 99177 |
|
13 |
13 |
$0.00 |
| 90661 |
|
32 |
32 |
$0.00 |