| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
729 |
605 |
$55K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
189 |
184 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
178 |
169 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
153 |
150 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
90 |
79 |
$3K |
| 90688 |
|
114 |
112 |
$3K |
| 90686 |
|
112 |
99 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
116 |
110 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
109 |
97 |
$868.28 |
| 96127 |
|
158 |
143 |
$687.66 |
| 90734 |
|
18 |
15 |
$325.92 |
| 90633 |
|
13 |
13 |
$302.64 |
| 90651 |
|
12 |
12 |
$279.36 |
| 90670 |
|
13 |
12 |
$279.36 |
| 90710 |
|
12 |
12 |
$279.36 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
12 |
$144.76 |
| 99173 |
|
24 |
24 |
$62.40 |