| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
534 |
470 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
444 |
377 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
45 |
42 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
101 |
56 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
16 |
13 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
22 |
20 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
32 |
30 |
$498.36 |
| 96127 |
|
30 |
30 |
$408.06 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$333.45 |
| 87450 |
|
45 |
32 |
$279.82 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
14 |
$248.00 |