| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,064 |
6,548 |
$207K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
817 |
780 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
138 |
131 |
$6K |
| 90686 |
|
599 |
586 |
$4K |
| 99000 |
|
1,129 |
1,062 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
344 |
316 |
$4K |
| 3008F |
|
378 |
373 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
52 |
52 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
205 |
191 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
47 |
47 |
$3K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
54 |
53 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
15 |
14 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
13 |
$914.70 |
| 80305 |
|
73 |
62 |
$869.76 |
| 90656 |
|
43 |
43 |
$658.88 |
| 90670 |
|
14 |
12 |
$43.03 |
| 96127 |
|
13 |
13 |
$31.97 |