| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,413 |
1,235 |
$71K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
161 |
132 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
493 |
419 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
120 |
95 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
95 |
93 |
$7K |
| 90671 |
|
42 |
24 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
75 |
74 |
$3K |
| 90677 |
|
50 |
45 |
$3K |
| 96127 |
|
172 |
151 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
17 |
$1K |
| 90656 |
|
71 |
65 |
$1K |
| 90686 |
|
68 |
62 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
14 |
14 |
$984.62 |
| 90647 |
|
48 |
37 |
$812.10 |
| 90723 |
|
20 |
12 |
$335.87 |
| 90651 |
|
15 |
15 |
$257.33 |