| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
770 |
708 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
166 |
164 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
132 |
131 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
106 |
106 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
257 |
257 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
161 |
89 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
25 |
$2K |
| 96127 |
|
241 |
223 |
$2K |
| 92551 |
|
157 |
155 |
$2K |
| 99188 |
|
88 |
86 |
$2K |
| 90686 |
|
136 |
136 |
$2K |
| 90670 |
|
115 |
113 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
103 |
101 |
$1K |
| 90648 |
|
128 |
127 |
$1K |
| 83655 |
|
84 |
84 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
59 |
59 |
$969.36 |
| 96160 |
|
252 |
252 |
$844.72 |
| 85018 |
|
265 |
261 |
$721.80 |
| 90685 |
|
32 |
32 |
$353.06 |
| 90723 |
|
27 |
27 |
$316.59 |
| 99173 |
|
92 |
90 |
$227.92 |
| 80061 |
Lipid panel |
21 |
20 |
$211.12 |
| 90633 |
|
14 |
14 |
$158.40 |
| 96161 |
|
39 |
39 |
$145.24 |
| 81003 |
|
42 |
42 |
$114.66 |
| 36416 |
|
276 |
272 |
$86.18 |