| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,991 |
1,459 |
$88K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
436 |
348 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
246 |
208 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
150 |
143 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
160 |
131 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
65 |
65 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
212 |
163 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
284 |
205 |
$4K |
| 90686 |
|
361 |
293 |
$3K |
| 90670 |
|
79 |
63 |
$936.62 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
43 |
29 |
$851.81 |
| 90710 |
|
17 |
17 |
$716.03 |
| 90651 |
|
36 |
36 |
$653.74 |
| 90734 |
|
39 |
39 |
$626.83 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
22 |
13 |
$516.45 |
| 90633 |
|
58 |
51 |
$512.92 |
| 90648 |
|
65 |
57 |
$488.60 |
| 90723 |
|
56 |
48 |
$462.55 |
| 90715 |
|
36 |
36 |
$294.34 |
| 90680 |
|
28 |
28 |
$275.69 |
| 90696 |
|
17 |
17 |
$260.90 |
| 90700 |
|
16 |
15 |
$116.00 |