| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
225 |
223 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
274 |
247 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
209 |
201 |
$11K |
| 92551 |
|
548 |
520 |
$7K |
| 90671 |
|
165 |
134 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
146 |
111 |
$6K |
| 90686 |
|
518 |
492 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,237 |
1,127 |
$5K |
| 90697 |
|
86 |
73 |
$3K |
| 99173 |
|
512 |
490 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
25 |
14 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
451 |
415 |
$1K |
| 90651 |
|
81 |
79 |
$925.60 |
| 90619 |
|
79 |
78 |
$711.00 |
| 90680 |
|
63 |
55 |
$697.41 |
| 90633 |
|
39 |
36 |
$431.73 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
24 |
$215.00 |
| 85018 |
|
76 |
68 |
$191.60 |
| 90710 |
|
12 |
12 |
$132.84 |
| 87070 |
|
12 |
12 |
$101.76 |
| 99215 |
Prolong outpt/office vis |
15 |
14 |
$0.00 |