| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
447 |
381 |
$35K |
| 99215 |
Prolong outpt/office vis |
73 |
63 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
34 |
34 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
269 |
260 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
28 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31 |
30 |
$2K |
| 94726 |
|
39 |
36 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$935.04 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
50 |
41 |
$509.00 |
| 81002 |
|
127 |
119 |
$362.25 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$183.69 |
| 92551 |
|
172 |
169 |
$48.12 |
| 99173 |
|
169 |
168 |
$0.00 |
| 94760 |
|
36 |
31 |
$0.00 |