| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,215 |
1,979 |
$77K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
835 |
794 |
$45K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
62 |
62 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
19 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
163 |
160 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
36 |
35 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
166 |
166 |
$945.92 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34 |
33 |
$934.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
68 |
51 |
$883.88 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$656.48 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$451.00 |
| 92551 |
|
16 |
16 |
$123.20 |
| 99173 |
|
15 |
15 |
$85.80 |
| 90688 |
|
34 |
34 |
$11.00 |