| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
945 |
466 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
265 |
150 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
203 |
129 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
173 |
97 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
741 |
316 |
$1K |
| 92551 |
|
582 |
345 |
$859.20 |
| 96127 |
|
734 |
258 |
$723.32 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
63 |
42 |
$683.64 |
| 96160 |
|
1,370 |
635 |
$666.55 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
31 |
$418.62 |
| 99173 |
|
574 |
345 |
$268.18 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
134 |
86 |
$27.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
114 |
102 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
42 |
$0.00 |