| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
210 |
200 |
$12K |
| T1015 |
Clinic visit/encounter, all-inclusive |
196 |
177 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32 |
32 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
28 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
27 |
$377.55 |
| 92552 |
|
12 |
12 |
$177.45 |
| 90670 |
|
30 |
30 |
$131.12 |
| 90685 |
|
24 |
23 |
$107.28 |
| 90681 |
|
16 |
16 |
$77.48 |
| 90688 |
|
17 |
17 |
$76.50 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$72.04 |
| 90647 |
|
16 |
16 |
$65.56 |
| 90698 |
|
14 |
14 |
$65.56 |
| 90723 |
|
14 |
14 |
$53.64 |
| 94760 |
|
59 |
57 |
$51.12 |