| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,638 |
1,318 |
$130K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
128 |
92 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
93 |
76 |
$9K |
| 90686 |
|
329 |
304 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
610 |
554 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
42 |
27 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
12 |
$2K |
| 90656 |
|
47 |
46 |
$998.88 |
| 90670 |
|
15 |
13 |
$940.28 |
| 96160 |
|
400 |
366 |
$929.56 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
60 |
20 |
$750.12 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$662.56 |
| 90698 |
|
15 |
13 |
$554.23 |
| 90688 |
|
35 |
27 |
$506.07 |
| W7000 |
|
120 |
100 |
$488.30 |
| 92552 |
|
14 |
12 |
$279.40 |
| 96127 |
|
65 |
51 |
$216.66 |
| 99173 |
|
90 |
87 |
$216.28 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
13 |
$170.82 |