| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,008 |
960 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
259 |
255 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
74 |
70 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
68 |
66 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
28 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
128 |
117 |
$976.63 |
| 83655 |
|
51 |
51 |
$550.00 |
| 90670 |
|
58 |
58 |
$484.00 |
| 99188 |
|
16 |
16 |
$316.80 |
| 90723 |
|
25 |
25 |
$275.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$243.10 |
| 90686 |
|
14 |
14 |
$154.00 |
| 90648 |
|
12 |
12 |
$149.90 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
16 |
$95.76 |
| 99173 |
|
12 |
12 |
$66.00 |