| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
770 |
655 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
258 |
225 |
$20K |
| 96127 |
|
637 |
547 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
137 |
124 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
149 |
123 |
$11K |
| 96160 |
|
788 |
662 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
134 |
119 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
300 |
249 |
$7K |
| 90686 |
|
428 |
379 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
103 |
84 |
$3K |
| 99173 |
|
298 |
256 |
$2K |
| 87631 |
|
22 |
19 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
545 |
453 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
169 |
154 |
$2K |
| 90651 |
|
77 |
66 |
$2K |
| 90734 |
|
73 |
65 |
$1K |
| 90670 |
|
18 |
12 |
$1K |
| 90633 |
|
110 |
90 |
$1K |
| 83655 |
|
22 |
21 |
$260.92 |
| 90715 |
|
32 |
27 |
$249.70 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$219.80 |
| 90621 |
|
33 |
30 |
$211.20 |
| 90716 |
|
15 |
14 |
$96.00 |
| 90713 |
|
13 |
12 |
$83.20 |
| 90707 |
|
13 |
12 |
$83.20 |
| 90744 |
|
15 |
13 |
$83.20 |
| 85018 |
|
22 |
21 |
$51.04 |