| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,733 |
1,438 |
$79K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
906 |
786 |
$64K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
613 |
588 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
474 |
471 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
431 |
398 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
48 |
47 |
$4K |
| 96127 |
|
170 |
162 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
154 |
145 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
118 |
69 |
$2K |
| 90670 |
|
155 |
148 |
$978.80 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
28 |
$820.80 |
| 90698 |
|
71 |
55 |
$448.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$219.80 |
| 90680 |
|
29 |
28 |
$179.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$154.56 |
| 90744 |
|
15 |
15 |
$96.00 |
| 90633 |
|
14 |
14 |
$89.60 |
| 3725F |
|
13 |
13 |
$0.00 |
| 1159F |
|
13 |
13 |
$0.00 |
| 1160F |
|
13 |
13 |
$0.00 |
| 1220F |
|
12 |
12 |
$0.00 |
| 1126F |
|
13 |
13 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |