| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,967 |
2,620 |
$182K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
914 |
887 |
$79K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
421 |
404 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
521 |
488 |
$5K |
| 36416 |
|
352 |
351 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$1K |
| 81002 |
|
377 |
372 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
72 |
53 |
$910.77 |
| 85018 |
|
399 |
399 |
$766.50 |
| 96127 |
|
254 |
247 |
$665.26 |
| 97802 |
|
344 |
334 |
$420.00 |
| 99429 |
|
95 |
95 |
$410.00 |
| 99072 |
|
13 |
12 |
$17.50 |
| 99401 |
|
18 |
18 |
$0.00 |