| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
997 |
845 |
$75K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
478 |
410 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
359 |
299 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
12 |
$2K |
| 90686 |
|
151 |
120 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
15 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
35 |
33 |
$1K |
| 90656 |
|
41 |
37 |
$681.45 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
20 |
20 |
$257.60 |
| 81002 |
|
95 |
81 |
$244.40 |
| 85018 |
|
72 |
53 |
$163.24 |
| 90688 |
|
23 |
23 |
$147.20 |