| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
323 |
303 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
123 |
120 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
103 |
98 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47 |
46 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
120 |
59 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
47 |
45 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
94 |
93 |
$2K |
| 90698 |
|
107 |
101 |
$1K |
| 90670 |
|
82 |
79 |
$1K |
| 92551 |
|
60 |
60 |
$709.11 |
| 96127 |
|
110 |
98 |
$584.85 |
| 90680 |
|
40 |
38 |
$442.75 |
| 90633 |
|
26 |
24 |
$277.75 |
| 99174 |
|
30 |
30 |
$228.77 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
24 |
17 |
$227.03 |
| 83655 |
|
12 |
12 |
$194.22 |
| 90686 |
|
16 |
16 |
$178.75 |
| 90651 |
|
12 |
12 |
$140.25 |
| 99173 |
|
14 |
14 |
$40.56 |
| 85018 |
|
12 |
12 |
$38.06 |
| 36416 |
|
39 |
38 |
$34.80 |