| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
885 |
456 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
630 |
339 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
235 |
115 |
$12K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
284 |
149 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
249 |
126 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
169 |
84 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
79 |
53 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
305 |
166 |
$4K |
| 96127 |
|
278 |
161 |
$4K |
| 99173 |
|
235 |
150 |
$2K |
| 87634 |
|
32 |
19 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
20 |
15 |
$1K |
| 92567 |
|
77 |
39 |
$1K |
| 92558 |
|
91 |
57 |
$988.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
62 |
46 |
$924.62 |
| 90670 |
|
128 |
57 |
$768.00 |
| 90680 |
|
80 |
41 |
$473.60 |
| 90686 |
|
57 |
28 |
$320.00 |
| 90698 |
|
52 |
25 |
$320.00 |
| 90710 |
|
44 |
25 |
$274.52 |
| 81002 |
|
81 |
51 |
$181.86 |
| 90633 |
|
32 |
12 |
$179.20 |
| 94760 |
|
36 |
18 |
$35.20 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
149 |
98 |
$0.00 |