| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,176 |
1,138 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
392 |
372 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
130 |
129 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
115 |
112 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
31 |
$3K |
| 90686 |
|
90 |
90 |
$825.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
107 |
106 |
$815.14 |
| 83655 |
|
61 |
61 |
$671.00 |
| 90670 |
|
38 |
38 |
$286.00 |
| 99173 |
|
42 |
42 |
$277.20 |
| 99188 |
|
13 |
13 |
$257.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$63.63 |