| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,886 |
2,482 |
$288K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
918 |
880 |
$90K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
404 |
391 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
251 |
246 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
331 |
311 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,114 |
1,907 |
$20K |
| 90686 |
|
506 |
501 |
$11K |
| 90670 |
|
465 |
447 |
$10K |
| 90648 |
|
427 |
414 |
$9K |
| 90723 |
|
147 |
144 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
156 |
145 |
$2K |
| 90633 |
|
80 |
79 |
$2K |
| 83655 |
|
96 |
90 |
$971.42 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
65 |
37 |
$937.80 |
| 90710 |
|
39 |
39 |
$861.36 |
| 90681 |
|
41 |
40 |
$861.36 |
| 94760 |
|
307 |
273 |
$692.12 |
| 85018 |
|
85 |
79 |
$174.03 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$21.00 |
| 36416 |
|
246 |
180 |
$10.00 |
| 99000 |
|
27 |
26 |
$0.00 |