| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
679 |
657 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
165 |
165 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
293 |
285 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
114 |
113 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
29 |
$3K |
| 99051 |
|
104 |
103 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
29 |
29 |
$2K |
| 99188 |
|
94 |
94 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
133 |
131 |
$1K |
| 92551 |
|
250 |
248 |
$854.47 |
| 99173 |
|
177 |
176 |
$630.07 |
| 99177 |
|
46 |
46 |
$410.20 |
| 96127 |
|
78 |
76 |
$118.80 |
| 96161 |
|
12 |
12 |
$38.30 |
| 83655 |
|
12 |
12 |
$22.00 |
| 96160 |
|
36 |
35 |
$3.83 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
12 |
12 |
$0.11 |
| 90688 |
|
106 |
106 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
16 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |
| 90677 |
|
17 |
17 |
$0.00 |