| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,110 |
918 |
$57K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
98 |
96 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
85 |
84 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
411 |
379 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
65 |
59 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
681 |
609 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
30 |
$2K |
| 92551 |
|
264 |
228 |
$2K |
| 90700 |
|
140 |
137 |
$2K |
| 90648 |
|
91 |
90 |
$993.85 |
| 90670 |
|
76 |
76 |
$884.00 |
| 90713 |
|
69 |
67 |
$783.51 |
| 90686 |
|
44 |
44 |
$512.62 |
| 99173 |
|
252 |
216 |
$503.88 |
| 85018 |
|
204 |
186 |
$459.73 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19 |
19 |
$249.48 |