| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
252 |
230 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
70 |
67 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
52 |
52 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
30 |
$512.75 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
50 |
40 |
$475.43 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$394.50 |
| 90670 |
|
15 |
15 |
$176.00 |
| 90698 |
|
12 |
12 |
$145.75 |
| 90680 |
|
12 |
12 |
$140.25 |