| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,656 |
5,573 |
$520K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,315 |
5,205 |
$306K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
679 |
564 |
$51K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,140 |
2,772 |
$50K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
367 |
316 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
251 |
213 |
$21K |
| 99173 |
|
1,784 |
1,503 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
550 |
510 |
$9K |
| 87428 |
|
131 |
123 |
$8K |
| 0502F |
|
169 |
89 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
84 |
63 |
$6K |
| 99000 |
|
157 |
140 |
$4K |
| 90734 |
|
131 |
106 |
$3K |
| 90716 |
|
108 |
73 |
$2K |
| 96127 |
|
89 |
84 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
12 |
$1K |
| 99423 |
|
24 |
21 |
$1K |
| 90670 |
|
88 |
68 |
$851.88 |
| 90707 |
|
12 |
12 |
$494.00 |
| 90715 |
|
33 |
26 |
$463.27 |
| 90648 |
|
55 |
52 |
$355.25 |
| 90686 |
|
28 |
28 |
$307.73 |
| 90656 |
|
13 |
12 |
$226.80 |
| 90651 |
|
13 |
12 |
$217.23 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$187.80 |
| 90723 |
|
24 |
13 |
$153.60 |
| 81002 |
|
18 |
12 |
$44.20 |