| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
637 |
599 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
599 |
574 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
235 |
235 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
182 |
180 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
64 |
64 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
76 |
74 |
$1K |
| 87428 |
|
35 |
35 |
$595.75 |
| 92551 |
|
129 |
128 |
$378.04 |
| 99051 |
|
13 |
13 |
$319.31 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
480 |
473 |
$257.11 |
| 99188 |
|
12 |
12 |
$237.60 |
| 90686 |
|
301 |
295 |
$220.00 |
| 99173 |
|
71 |
70 |
$134.24 |
| 96127 |
|
29 |
29 |
$16.72 |
| 96160 |
|
28 |
28 |
$9.19 |
| 90648 |
|
103 |
103 |
$0.00 |
| 90670 |
|
87 |
87 |
$0.00 |
| 90661 |
|
35 |
35 |
$0.00 |
| 90680 |
|
48 |
48 |
$0.00 |
| 96161 |
|
62 |
61 |
$0.00 |
| 90723 |
|
49 |
49 |
$0.00 |
| 90656 |
|
21 |
21 |
$0.00 |
| 90677 |
|
28 |
28 |
$0.00 |