| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
548 |
524 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
309 |
300 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
86 |
86 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
145 |
145 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
378 |
376 |
$2K |
| 92551 |
|
292 |
291 |
$2K |
| 99383 |
|
65 |
65 |
$2K |
| 99173 |
|
310 |
309 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$1K |
| 99382 |
|
29 |
29 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
45 |
45 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$528.00 |
| 99381 |
|
13 |
13 |
$346.50 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$100.66 |
| 90686 |
|
53 |
52 |
$11.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90670 |
|
32 |
24 |
$0.00 |
| 90723 |
|
20 |
12 |
$0.00 |