| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,871 |
1,745 |
$158K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
740 |
686 |
$88K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
144 |
141 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
113 |
109 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
213 |
191 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,256 |
1,240 |
$11K |
| 90686 |
|
376 |
374 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
42 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
40 |
39 |
$4K |
| 92552 |
|
77 |
77 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
41 |
35 |
$894.88 |
| W7010 |
|
54 |
54 |
$873.63 |
| 90698 |
|
31 |
28 |
$628.56 |
| 90670 |
|
26 |
26 |
$582.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
47 |
44 |
$486.18 |
| 90633 |
|
14 |
14 |
$325.92 |
| 90680 |
|
12 |
12 |
$279.36 |
| 99173 |
|
32 |
32 |
$78.00 |