| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
582 |
480 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
37 |
35 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
26 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
110 |
102 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
63 |
50 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
104 |
98 |
$2K |
| 90686 |
|
146 |
141 |
$1K |
| 96127 |
|
36 |
33 |
$525.60 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
32 |
32 |
$412.16 |
| 36416 |
|
30 |
28 |
$114.80 |
| 99173 |
|
13 |
13 |
$96.85 |
| 85018 |
|
30 |
28 |
$69.60 |
| 94760 |
|
29 |
15 |
$0.00 |