| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,525 |
1,357 |
$126K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
96 |
95 |
$11K |
| 90686 |
|
381 |
353 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
72 |
71 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
426 |
413 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
30 |
30 |
$3K |
| 99173 |
|
605 |
586 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
81 |
78 |
$1K |
| 92551 |
|
15 |
15 |
$145.80 |
| 99000 |
|
30 |
30 |
$0.00 |