| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
256 |
241 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
74 |
73 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
28 |
$2K |
| 90670 |
|
41 |
40 |
$2K |
| 90698 |
|
48 |
47 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
80 |
77 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
74 |
35 |
$1K |
| 92551 |
|
44 |
43 |
$483.12 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
13 |
$140.67 |