| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
508 |
455 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
56 |
52 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47 |
44 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
43 |
43 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
225 |
221 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
90 |
50 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
92 |
87 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$1K |
| 90686 |
|
88 |
86 |
$1K |
| 96127 |
|
140 |
132 |
$828.68 |
| 96160 |
|
202 |
197 |
$669.69 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
23 |
23 |
$374.58 |
| 90670 |
|
14 |
14 |
$316.60 |
| 85018 |
|
82 |
81 |
$227.86 |
| 83655 |
|
16 |
16 |
$223.18 |
| 90648 |
|
14 |
14 |
$165.59 |
| 92551 |
|
12 |
12 |
$129.00 |
| 96161 |
|
14 |
12 |
$57.12 |
| 36416 |
|
68 |
67 |
$22.00 |