| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,571 |
3,059 |
$290K |
| 99402 |
|
3,543 |
3,350 |
$166K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,586 |
2,292 |
$146K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
380 |
377 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
307 |
303 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
220 |
202 |
$14K |
| 90686 |
|
586 |
562 |
$12K |
| 96127 |
|
2,393 |
2,161 |
$8K |
| 99401 |
|
255 |
246 |
$7K |
| 99383 |
|
82 |
78 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
912 |
888 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
63 |
63 |
$6K |
| 90698 |
|
134 |
128 |
$3K |
| 90670 |
|
123 |
119 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
14 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
46 |
46 |
$1K |
| 99381 |
|
16 |
12 |
$874.91 |
| 90710 |
|
34 |
29 |
$592.92 |
| 90685 |
|
24 |
24 |
$527.04 |
| 90633 |
|
28 |
24 |
$505.08 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
25 |
$277.68 |
| 90671 |
|
13 |
12 |
$263.52 |
| 85018 |
|
24 |
24 |
$42.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
16 |
$0.00 |