| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,958 |
3,691 |
$141K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
864 |
838 |
$70K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
790 |
777 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
925 |
898 |
$51K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
524 |
507 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
425 |
413 |
$29K |
| 90670 |
|
370 |
369 |
$5K |
| 99173 |
|
1,804 |
1,777 |
$5K |
| 92551 |
|
1,720 |
1,697 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
416 |
409 |
$3K |
| 90686 |
|
276 |
273 |
$3K |
| 90680 |
|
147 |
147 |
$2K |
| 90688 |
|
143 |
143 |
$1K |
| 90698 |
|
104 |
104 |
$1K |
| 90633 |
|
109 |
109 |
$1K |
| 90697 |
|
76 |
76 |
$825.00 |
| 96161 |
|
190 |
189 |
$677.91 |
| 96160 |
|
820 |
804 |
$638.44 |
| 90619 |
|
31 |
31 |
$276.14 |
| 96127 |
|
537 |
521 |
$202.43 |
| 90710 |
|
14 |
14 |
$121.00 |
| 90696 |
|
12 |
12 |
$88.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
413 |
394 |
$75.19 |
| 80061 |
Lipid panel |
193 |
192 |
$5.00 |
| 83655 |
|
53 |
53 |
$0.00 |
| 86703 |
|
64 |
62 |
$0.00 |