| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
999 |
932 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
321 |
308 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
297 |
297 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
217 |
215 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
190 |
190 |
$16K |
| 90686 |
|
313 |
312 |
$4K |
| 99188 |
|
164 |
164 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
230 |
148 |
$3K |
| 92551 |
|
244 |
243 |
$3K |
| 90670 |
|
201 |
201 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
143 |
140 |
$2K |
| 90647 |
|
136 |
136 |
$2K |
| 90723 |
|
127 |
127 |
$1K |
| 90680 |
|
105 |
104 |
$1K |
| 85018 |
|
209 |
209 |
$600.45 |
| 96127 |
|
190 |
135 |
$486.18 |
| 90633 |
|
37 |
37 |
$467.83 |
| 96161 |
|
154 |
136 |
$451.10 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
17 |
$294.93 |
| 90696 |
|
15 |
15 |
$181.94 |
| 90710 |
|
15 |
15 |
$181.94 |
| 90685 |
|
15 |
15 |
$172.15 |
| 99173 |
|
25 |
24 |
$62.42 |
| 36416 |
|
192 |
190 |
$35.72 |
| 94760 |
|
62 |
62 |
$0.00 |