| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
607 |
562 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
641 |
602 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
240 |
236 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
250 |
227 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
453 |
221 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
350 |
342 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
59 |
58 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
394 |
389 |
$3K |
| 90670 |
|
164 |
163 |
$2K |
| 90698 |
|
111 |
111 |
$1K |
| 90686 |
|
87 |
87 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$981.97 |
| 90680 |
|
77 |
77 |
$908.44 |
| 90633 |
|
39 |
39 |
$445.63 |
| 96161 |
|
111 |
101 |
$431.78 |
| 87807 |
|
14 |
13 |
$203.14 |
| 99173 |
|
32 |
32 |
$75.11 |
| 99000 |
|
223 |
217 |
$3.86 |