| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
932 |
644 |
$42K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
361 |
288 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
263 |
200 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
234 |
177 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
259 |
157 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
203 |
107 |
$4K |
| 90670 |
|
287 |
234 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
32 |
29 |
$2K |
| 83655 |
|
125 |
97 |
$1K |
| 90680 |
|
181 |
151 |
$1K |
| 90648 |
|
196 |
156 |
$1K |
| 90633 |
|
168 |
127 |
$1K |
| 90723 |
|
141 |
119 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
65 |
51 |
$1K |
| 90686 |
|
127 |
97 |
$895.80 |
| 90651 |
|
16 |
16 |
$512.14 |
| 90716 |
|
34 |
29 |
$461.64 |
| 90707 |
|
33 |
28 |
$282.12 |
| 90700 |
|
18 |
12 |
$144.40 |
| 90698 |
|
20 |
15 |
$141.60 |
| 85018 |
|
59 |
47 |
$136.88 |