| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
787 |
785 |
$120K |
| 96156 |
|
1,237 |
1,232 |
$104K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
391 |
373 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,475 |
2,292 |
$65K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
755 |
755 |
$53K |
| 92551 |
|
2,000 |
1,995 |
$26K |
| 96151 |
|
926 |
922 |
$21K |
| G9920 |
Screening performed and negative |
525 |
524 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
311 |
309 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
443 |
427 |
$9K |
| 90686 |
|
894 |
891 |
$8K |
| 90651 |
|
99 |
98 |
$891.00 |
| 90633 |
|
84 |
83 |
$756.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
85 |
85 |
$594.15 |
| 96127 |
|
94 |
94 |
$452.14 |
| 90672 |
|
33 |
33 |
$297.00 |
| 90734 |
|
27 |
27 |
$243.00 |
| 90670 |
|
15 |
15 |
$135.00 |
| 90621 |
|
14 |
14 |
$126.00 |
| 90715 |
|
12 |
12 |
$108.00 |