| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,765 |
1,665 |
$111K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,508 |
2,220 |
$103K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,800 |
2,621 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
527 |
508 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
331 |
323 |
$21K |
| 92567 |
|
1,152 |
1,111 |
$14K |
| 92587 |
|
642 |
621 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
147 |
143 |
$8K |
| 96127 |
|
1,574 |
1,500 |
$7K |
| 81003 |
|
1,882 |
1,784 |
$4K |
| 80061 |
Lipid panel |
365 |
339 |
$3K |
| 85018 |
|
1,455 |
1,387 |
$3K |
| 99051 |
|
147 |
137 |
$3K |
| 99173 |
|
1,391 |
1,339 |
$3K |
| 96160 |
|
685 |
657 |
$2K |
| 85014 |
|
924 |
884 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
40 |
28 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
114 |
107 |
$1K |
| 99177 |
|
131 |
129 |
$1K |
| 36416 |
|
571 |
548 |
$1K |
| 83655 |
|
79 |
77 |
$939.87 |
| 99050 |
|
48 |
47 |
$823.09 |
| 88738 |
|
298 |
293 |
$714.21 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
29 |
$557.86 |
| 99174 |
|
26 |
26 |
$190.26 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
24 |
22 |
$157.32 |
| 96161 |
|
35 |
27 |
$54.25 |
| 94760 |
|
961 |
864 |
$0.00 |