| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,455 |
3,920 |
$183K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
776 |
684 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
257 |
250 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
425 |
403 |
$9K |
| 96160 |
|
637 |
581 |
$8K |
| 3008F |
|
4,472 |
4,034 |
$7K |
| 1159F |
|
4,121 |
3,638 |
$6K |
| 92552 |
|
403 |
386 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
534 |
237 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
59 |
55 |
$5K |
| 96127 |
|
1,046 |
980 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
58 |
53 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
307 |
243 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,202 |
1,052 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
24 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
24 |
$722.46 |
| 1111F |
|
158 |
143 |
$400.00 |
| 81002 |
|
18 |
12 |
$33.18 |
| 99429 |
|
21 |
18 |
$0.00 |
| 4000F |
|
91 |
81 |
$0.00 |
| 99072 |
|
977 |
864 |
$0.00 |
| 99499 |
|
143 |
114 |
$0.00 |
| 1160F |
|
860 |
784 |
$0.00 |
| 1003F |
|
408 |
392 |
$0.00 |