| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,752 |
2,540 |
$114K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,366 |
1,290 |
$89K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
718 |
717 |
$83K |
| 87631 |
|
361 |
361 |
$54K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
498 |
497 |
$52K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
339 |
339 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
187 |
186 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,118 |
1,092 |
$9K |
| 99188 |
|
217 |
217 |
$5K |
| 99173 |
|
1,310 |
1,305 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
96 |
92 |
$3K |
| 90670 |
|
142 |
142 |
$2K |
| 92552 |
|
626 |
626 |
$2K |
| 90686 |
|
352 |
352 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
540 |
536 |
$2K |
| 90680 |
|
74 |
74 |
$857.36 |
| 90697 |
|
56 |
56 |
$615.00 |
| 96127 |
|
425 |
420 |
$468.45 |
| 90633 |
|
37 |
37 |
$445.67 |
| 92551 |
|
168 |
167 |
$255.68 |
| 83718 |
|
29 |
28 |
$209.95 |
| 82465 |
|
29 |
28 |
$168.80 |
| 96160 |
|
407 |
405 |
$131.67 |
| 83655 |
|
39 |
39 |
$34.44 |
| 96161 |
|
164 |
164 |
$0.00 |
| 90656 |
|
66 |
66 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 3008F |
|
14 |
12 |
$0.00 |
| 90677 |
|
63 |
62 |
$0.00 |
| 90698 |
|
14 |
14 |
$0.00 |
| 90619 |
|
14 |
14 |
$0.00 |