| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
596 |
493 |
$56K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
94 |
93 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
101 |
101 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
73 |
71 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
55 |
55 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
57 |
54 |
$6K |
| 90656 |
|
191 |
190 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
71 |
69 |
$4K |
| 92551 |
|
238 |
235 |
$2K |
| 90677 |
|
47 |
47 |
$2K |
| 90651 |
|
53 |
53 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
61 |
47 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
51 |
51 |
$772.43 |
| 96127 |
|
152 |
150 |
$702.27 |
| 99173 |
|
268 |
267 |
$684.32 |
| 90698 |
|
28 |
28 |
$651.84 |
| 90619 |
|
15 |
15 |
$602.64 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
42 |
$546.76 |
| 96160 |
|
141 |
139 |
$379.77 |
| 90680 |
|
13 |
13 |
$302.64 |
| 90710 |
|
12 |
12 |
$279.36 |
| 90620 |
|
12 |
12 |
$279.36 |
| 87807 |
|
14 |
14 |
$159.62 |
| 96161 |
|
53 |
52 |
$146.95 |
| 81002 |
|
45 |
44 |
$116.57 |