| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,544 |
1,360 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
808 |
693 |
$55K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
378 |
272 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
314 |
272 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
614 |
403 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
151 |
139 |
$4K |
| 90686 |
|
545 |
489 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
48 |
47 |
$4K |
| 90670 |
|
108 |
89 |
$1K |
| 90656 |
|
65 |
59 |
$1K |
| 90648 |
|
106 |
87 |
$755.38 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
39 |
$661.26 |
| 90633 |
|
41 |
26 |
$270.64 |
| 90677 |
|
14 |
12 |
$233.94 |
| 90723 |
|
33 |
26 |
$212.50 |
| 90710 |
|
24 |
13 |
$147.98 |
| 90680 |
|
20 |
13 |
$128.78 |
| 85018 |
|
40 |
13 |
$93.45 |